THIRD PARTY LIABILITY INSURANCE PROGRAM SUPPORT SERVICES (SENIOR)
About The Position
VECRA, Inc. has a requirement for a THIRD PARTY LIABILITY INSURANCE PROGRAM SUPPORT SERVICES (SENIOR) with Third Party Liability Insurance recovery experience. The VECRA THIRD PARTY LIABILITY INSURANCE PROGRAM SUPPORT SERVICES (SENIOR) will join our VECRA VIPs to carry out the day-to-day tasks in support of our and Federal government, Public and Commercial clients and be responsible for providing guidance and supervision to lower-level clerks. The Third Party Liability program is responsible for recovering the cost to the United States of medical care provided to persons entitled to care when their injuries/illness result from the negligent acts of third parties. Sources of recovery include liability, medical payments, Personal Injury Protection, and no-fault coverage in automobile and homeowner’s insurance, as well as worker’s compensation benefits. Recovery is sought from both insurance companies and from negligent parties directly. The Program Support Services Senior will work on a team to collect the information necessary for successful analysis of all potential claims, for assertion of claims where recovery is feasible, and billing these claims. This position is responsible for performing the duties related to the Tort program under the Federal Medical Care Recovery Act to enable clients to meet its legal obligations regarding the collection of medical reimbursements and compensation for lost wages resulting from third-party liability claims.
Requirements
- Must have at least eight(8) years experience working in a general office setting.
- Experience with conducting quality assurance reviews of the work performed by lower-level clerks.
- Experience with generating, validating, and disseminating reports for internal team utilization.
- Must know how to provide onboarding support to new team members.
- Must have experience utilizing critical thinking to identify obstacles, examine problems, identifying important factors, collecting relevant data, and suggesting appropriate solutions to the PM for mitigation.
- Must have effective written and verbal communication skills with tact and diplomacy.
- Experience with program evaluation and measurement techniques for compliance is required.
- Medical Accounts Receivable program experience is required
- Must have experience with analyzing admission, disposition and injury reports generated by the Composite Health Care Systems (CHCSII)/Integrated Health Information System (IHiS), Tricare contractors, DoD or Military Treatment Facilities.
- Must have experience compiling data from medical acute care clinics, emergency rooms, and other clinics because of a motor vehicle accident or personal injury top open case files.
- Medical information of Emergency Treatment Records (ETRs) experience is required
- Must have experiences with interviewing beneficiaries and initiate correspondence to obtain necessary insurance information regarding the injury and provide guidance to complete forms
- Must have experience with facilitating requests for information, medical invoices, and liens for TPL claims from civilian attorneys, military legal offices, and government agencies.
- Must have experience preparing FMCRA liens to include billing forms and UB92 insurance forms
- Must have experience to generate medical liens and route for review, approval, and decision
- Have ability to review correspondence to determine priority and process and route for action
- Must hold an associate degree from a college or university accredited by a regional or national accrediting body.
- Additionally, they must have a minimum of eight years of experience working in a general office setting, including experience in a supervisory role.
- Relevant experience may substitute a college degree.
Responsibilities
- draft correspondence
- file records
- make copies of related correspondence
- answer related phone calls and transfer calls to appropriate personnel
- perform data entry by way of MS Access and utilize the task feature in MS Outlook
- attend regular meetings with the Program Manager to address any issues, delegate workload, and engage in discussions regarding ideas for enhancing processes
Benefits
- We offer a 401k program, as well as paid holidays, paid time off, vision and dental.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
