Subrogation Specialist, Sr. is responsible for subrogation activities including the identification and research of subrogation claims. Assists in the recovery of overpayments. Being a Subrogation Specialist, Sr. coordinates with other departments, insurance representatives and members. Processes subrogation, workers' compensation, and other claims where third-party liability exists. Additionally, Subrogation Specialist, Sr. develops cases resulting from beneficiary or provider-initiated inquiries, internal referrals, personal research, or computer-generated reports. Requires a high school diploma. Typically reports to a supervisor. The Subrogation Specialist, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Subrogation Specialist, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Responsibilities:
- Review and process medical billing claims
- Verify accuracy of patient demographic and insurance information
- Ensure compliance with coding and billing regulations
- Resolve billing discrepancies and denials
- Communicate with insurance companies and patients regarding billing inquiries
- Maintain up-to-date knowledge of medical coding systems, such as ICD-10
- Collaborate with medical staff to obtain necessary documentation for accurate coding
Requirements:
- Previous experience working in a medical office or healthcare setting
- Strong knowledge of medical terminology and coding systems
- Proficiency in medical collection processes
- Familiarity with electronic medical records systems
- Attention to detail and accuracy in data entry and record keeping
- Excellent communication skills, both written and verbal
- Ability to work independently and prioritize tasks effectively
Job Type: Full-time
Benefits:
Schedule:
Work setting:
Ability to Relocate:
Work Location: In person
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