Subrogation Specialist

Job Summary

Responsibilities

Requirements

Qualifications

Skills

Benefits

Pay

Schedule

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare.

Responsibilities

• Learn and understand fundamentals of health insurance subrogation, including basic health plan contractual provisions that apply to the reimbursement efforts.
• Review, identify and develop subrogation opportunities by gathering missing information and potential sources of recovery.
• Place parties of interest on notice.
• Organize and structure investigations to work in priority order using the tools provided.
• Respond timely to all electronic, written and verbal communications.
• Log and maintain detailed and accurate records.
• Access and pull benefits from clients' health claim systems.
• Engage advice and/or help of legal manager to proactively resolve cases.
• Ensure compliance of state and federal laws.
• Provide feedback to management and unit on trends or developments.
• Collaborate, coordinate, and communicate across disciplines and departments.
• Ensure compliance with HIPAA regulations and requirements.

Requirements

• Minimum high school diploma or GED coupled with at least one (1) year of relevant experience.
• Working knowledge of Microsoft Word, Excel, internet research skills.
• Excellent organizational, communication, critical thinking, analytical and independent decision making skills.
• Developed customer service skills.
• Strong organizational and time management skills.
• Ability to work independently and as part of a team.

Qualifications

• Required licensures, professional certifications, and/or Board certifications as applicable.

Skills

• Knowledge of health insurance subrogation.
• Microsoft Word, Excel, internet research skills.
• Customer service skills.
• Organizational and time management skills.
• Independent decision making skills.
• Legal knowledge and understanding of HIPAA regulations.

Benefits

• Medical, dental and vision coverage with low deductible & copay.
• Life insurance.
• Short and long-term disability.
• Paid Parental Leave.
• 401(k) + match.
• Employee Stock Purchase Plan.
• Tuition reimbursement.
• Flexible Spending Account.
• Employee Assistance Program.
• Sick time benefits - for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits.

Pay

The hourly rate for this position is $19 per hour. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity.

Schedule

Availability 7:00am - 7:00pm CST