Recovery Specialist
About The Position
JOB SUMMARY 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. JOB QUALIFICATIONS EDUCATION/EXPERIENCE For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation. Minimum Required: 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. Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: 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 . Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
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.
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
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
