Subrogation Specialist [Remote]
SGS Consulting
Remote
- Remote job
Job Responsibilities:
- Ensure all processes meet HIPAA and Government security requirements regarding sharing, storage, and PHI (Personal Health Information).
- Manage 700–1,000 subrogation cases at a time, including case notation and settlement negotiation.
- Interact professionally with attorneys, insurance adjusters, medical providers, court staff, beneficiaries, family members, and clients through incoming and outgoing calls.
- Prepare required correspondence, liens, claims, and related legal documents to advance case recovery.
- Meet departmental standards for customer service, settlement goals, and file handling guidelines.
- Perform document review, legal research, and case management to ensure proper workflow progression.
- Confirm beneficiary eligibility documentation.
- Conduct case document review and updates as necessary.
- Validate third-party liability, probate matters, and beneficiary asset research.
- Analyze and compile case data from multiple sources to determine case status and conclusions.
- Process claim and lien disputes in coordination with attorneys and stakeholders.
- Conduct periodic follow-ups on case status and recovery payments.
- Negotiate and compromise claim/lien settlements per contract guidelines.
- Sign and file notarized documents with counties for applicable cases.
- Prioritize revenue-impacting case events and meet internal and legal deadlines.
- Meet file handling and phone performance metrics.
Skills:
- Subrogation
- Medicaid and/or Medicare knowledge
- Legal or Paralegal
- Proficiency in Microsoft Office (Word & Excel)
- Claim/ Claims
- Excellent communication and legal case documentation skills
Education/Experience:
- High School Diploma or equivalent required
- Associate’s or Bachelor’s degree in Business, Legal Studies, Healthcare Administration, or related field preferred
Vacancy posted more than 2 months ago
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