Subrogation Specialist jobs in Asheville, NC

Subrogation Specialist is responsible for subrogation activities including the identification and research of subrogation claims. Assists in the recovery of overpayments for duplicate coverage, workers' compensation, and no-fault claims. Being a Subrogation Specialist identifies legal liability and pursues, negotiates, and settles subrogation collection. Researches paid claims, answers inquiries, and coordinates with other departments, insurance adjustors, attorneys, and members. Additionally, Subrogation Specialist interacts with policyholders, claimants, witnesses, and underwriters to recommend and document the necessary information to close a file. Collects information needed to determine when an on-site investigation is necessary. Requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Subrogation Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Subrogation Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Specialist
  • Fresenius Medical Care Holdings, Inc.
  • Franklin, NC FULL_TIME
  • Must have an active registration in the state of TN. Pharmacy Technician Certification (CPhT) required. PURPOSE AND SCOPE : Assists pharmacists by working directly with physicians, physician offices, dialysis facilities, and other pharmacies to ensure that patients' medication profiles are accurately completed and that patients receive the necessary medication refills in a timely manner.

    PRINCIPAL DUTIES AND RESPONSIBILITIES :

    Under the guidance of Registered Pharmacist, takes the appropriate actions to ensure the accuracy of patient medication files for enrolled or prospective patients and the accurate fulfillment of prescriptions for enrolled patients.

    Works primarily with patient medication prescriptions and with medication prescribers. After receipt of patient authorization, contacts physicians, physician offices, dialysis facilities, and other pharmacies regarding the accuracy and fulfillment of prescriptions for enrolled or prospective patients.

    • Ensures that patient prescription needs are met in a timely manner. Speaks with physicians or nurses to verify correct information about a specific prescription.
    • Regularly requests prescriptions and refills from physicians by telephone and / or facsimile. Follows up as necessary to ensure the timely receipt of new prescriptions.
    • Contacts pharmacies to execute patient medication transfers to FreseniusRx.
    • Collaborates with related parties for all communication with patients regarding prescription issues or other identified anomalies pertaining to prescriptions.

    Ensures issues are resolved according to procedures escalating the more complex issues to supervisor as necessary.

    • Enters, scans, and links prescription and patient data into Pharmacy Management System. Contacts appropriate parties or researches National Provider Identifier / Drug Enforcement Agency databases (NPI / DEA) when information is missing.
    • Works to resolve prior authorizations and if necessary, contacts the insurance company for verification when prior authorizations are required.
    • Ensures the required level of customer service for patients by : Prioritizing and completing assigned tasks appropriately and in a timely manner.
    • Provides backup as necessary for related parties during high volume times by taking patient calls.
    • Assists pharmacists in dispensing as necessary.
    • May perform intake duties and responsibilities which include but are not limited to : Acts as a primary liaison between clinics and provider (doctor) staff.
    • Works system queue Pharmacy Management System to ensure documents processed in a timely fashion. Ensures patient Protected Health Information (PHI) is entered and updated correctly.
    • Transfers patient profiles between FreseniusRx pharmacy locations. Ensures accuracy with clinic locations, addresses, and contact information.
    • Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
    • Assist with various projects as assigned by direct supervisor.
    • Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

    PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION :

    • High School Diploma required; Associate's Degree desirable
    • Pharmacy Technician Certification required
    • Registered or able to be registered as a pharmacy technician in the state of Tennessee EXPERIENCE AND REQUIRED SKILLS :
    • 1 - 2 years' related experience.
    • Excellent customer service, communication, organizational and interpersonal skills required.
    • Understands the importance of, and demonstrates a customer service philosophy.
    • Excellent written and verbal communication skills.
    • Excellent organizational and analytical skills.
    • Detail oriented with the ability to enter information accurately on paper and into a database system.
    • Proficient with PCs.
    • Develops a working knowledge of pharmacy dispensing regulations, data systems, and billing practices and policies.
    • Develops a working knowledge of standard medical abbreviations and medical terminology. EO / AA Employer : Minorities / Females / Veterans / Disability / Sexual Orientation / Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

    EO / AA Employer : Minorities / Females / Veterans / Disability / Sexual Orientation / Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

    Last updated : 2024-03-03

  • 23 Days Ago

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Specialist
  • Best Buy
  • Asheville, NC FULL_TIME
  • The Best Buy Certified Verizon Advisor creates a world-class shopping experience for our customers while inspiring them to see what’s possible with technology. They build quality relationships with cu...
  • 1 Month Ago

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Extension Specialist
  • ncsu-sb
  • Mills, NC FULL_TIME
  • The Department of Forestry and Environmental Resources at NC State University is seeking applicants for a full-time, Extension specialist position in integrated pest management of mountain conifers wi...
  • 21 Days Ago

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Marketing Specialist
  • Pegram Builders
  • Fletcher, NC FULL_TIME
  • Highest Quality WNC home service companies, Pegram Builders and Express Gutters, are looking for a top notch Marketing Specialist to plan, execute, and track marketing efforts and lead generation enab...
  • 24 Days Ago

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Instrument specialist
  • Oticon
  • Hendersonville, NC FULL_TIME
  • Overview Who WE Are : HearingLife is a national hearing care company and part of the Demant Group, a global leader in hearing healthcare built on a heritage of care, health and innovation since 1904. ...
  • 20 Days Ago

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Engagement Specialist
  • Blue Ridge Health
  • Sylva, NC FULL_TIME
  • Overview Blue Ridge Health is currently seeking an Engagement Specialist to join our Behavioral Health Team. What We Offer You: A competitive benefits plan, including Medical, Dental and Vision Compan...
  • 21 Days Ago

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0 Subrogation Specialist jobs found in Asheville, NC area

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TRAVEL - RN - E5 CARDIAC STEP-DOWN (631) 7:00PM - 7:00AM
  • TotalMed
  • Asheville, NC
  • We are seeking a Registered Nurse-Step Down Unit for a travel assignment in Asheville North Carolina.
  • 3/29/2024 12:00:00 AM

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TRAVEL - RN - E5 CARDIAC STEP-DOWN (631) 7:00PM - 7:00AM
  • TotalMed
  • Asheville, NC
  • We are seeking a Registered Nurse-Step Down Unit for a travel assignment in Asheville North Carolina.
  • 3/29/2024 12:00:00 AM

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BACKFILL TRAVEL RN - K7 PCU (638) - 7:00PM - 7:00AM
  • TotalMed
  • Asheville, NC
  • We are seeking a Registered Nurse-Step Down Unit for a travel assignment in Asheville North Carolina.
  • 3/29/2024 12:00:00 AM

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BACKFILL - TRAVEL - RN - PMPC 13/26WKS.(PCU) (633) - 7:00PM - 7:00AM
  • TotalMed
  • Asheville, NC
  • We are seeking a Registered Nurse-Step Down Unit for a travel assignment in Asheville North Carolina.
  • 3/29/2024 12:00:00 AM

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BACKFILL - TRAVEL - RN - PMPC (PCU) (633) - 7:00PM - 7:00AM
  • TotalMed
  • Asheville, NC
  • We are seeking a Registered Nurse-Step Down Unit for a travel assignment in Asheville North Carolina.
  • 3/29/2024 12:00:00 AM

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BACKFILL - TRAVEL - RR - RN - A4W TRAUMA TELE (607) 7:00PM - 7:00AM
  • TotalMed
  • Asheville, NC
  • We are seeking a Registered Nurse-Telemetry for a travel assignment in Asheville North Carolina.
  • 3/29/2024 12:00:00 AM

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Field Interviewer - NSDUH
  • RTI International
  • Asheville, NC
  • The pay rate for this part-time position is $20 / hr based on experience and geographic location. This position falls un...
  • 3/29/2024 12:00:00 AM

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Travel Registered Nurse RN Progressive Care Unit PCU
  • OneStaff Medical
  • Asheville, NC
  • We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to w...
  • 3/29/2024 12:00:00 AM

Asheville is a city and the county seat of Buncombe County, North Carolina, United States. It is the largest city in Western North Carolina, and the 12th-most populous city in the U.S. state of North Carolina. The city's population was 89,121 according to 2016 estimates. It is the principal city in the four-county Asheville metropolitan area, with a population of 424,858 in 2010. Asheville is located in the Blue Ridge Mountains at the confluence of the Swannanoa River and the French Broad River. According to the United States Census Bureau, the city has a total area of 45.3 square miles (117....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Subrogation Specialist jobs
$39,208 to $48,582
Asheville, North Carolina area prices
were up 1.5% from a year ago

Subrogation Specialist in Frankfort, KY
You will then seek subrogation against contractor and his insurer to get them to pay for the damages paid out.
December 27, 2019
Subrogation Specialist in Port Arthur, TX
Enroll in the certified subrogation recovery professional program offered by the National Association of Subrogation Professionals.
December 02, 2019
Afni is hiring Subrogation Specialists that are primarily responsible for assisting in the recovery of subrogation claims typically from insurance carriers and self-insured entities.
February 07, 2020
Subrogation Specialist in San Jose, CA
Train in areas of handling subrogation payments, arbitration, and the disposition of salvage.
January 24, 2020