Recovery Specialist

Marshfield Clinic Health System • Marshfield, WI

1d • Remote

About The Position

Responsible for the identification and research of third party claims. Works for the recovery of overpayments involving workers compensation, no-fault, hospital liens, and any other type of accident or liability claims. Identifies legal liability, and pursues, negotiates, and settles subrogation, liens, and reimbursement recoveries.

Requirements

• Completion of associates degree or successful completion of 60 credits with emphasis on business, legal, or medical and one year work experience with coding, insurance processes, liability, subrogation, coordination of benefits or workers' compensation claim adjudication or High school graduate and three years’ work experience with coding, insurance processes, liability, subrogation, coordination of benefits or workers' compensation claim adjudication.
• Satisfactory completion of continuing education courses to include medical terminology and coding within one year of hire.
• Intermediate level of Microsoft Word and Excel classes required, or must demonstrate equivalent expertise.
• Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.

Nice To Haves

• College or technical school courses with emphasis on business, legal, or medical.
• CSRP (Certified Subrogation Recovery Professional) designation from NASP (National Association of Subrogation Professionals) preferred.

Responsibilities

• identification and research of third party claims
• recovery of overpayments involving workers compensation, no-fault, hospital liens, and any other type of accident or liability claims
• identifies legal liability
• pursues, negotiates, and settles subrogation, liens, and reimbursement recoveries

Benefits

• Positions listed as 30 hours per week or greater are offered the level 1 benefit package.
• Positions listed as 20 – 29 hours per week are offered the level 2 benefit package.
• Positions listed as less than 19 hours per week are non-benefited.
• Benefits for temporary positions vary. Details will be discussed in the interview process.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree