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)
Charleston GI has been developing since 1989, our practice is the first and largest gastroenterology practice in the Lowcountry to operate a physicians’ practice and three nationally certified and state licensed endoscopy centers. Our team includes eleven outstanding Board Certified Gastroenterologists, with a combined experience of over 100 years of treating patients.
We value the health, service, and satisfaction of our patients above all else.
We are seeking a highly motivated and productive individual to join our Prior Authorization team. Duties include:
Position location and hours: 2001 2nd Avenue Suite 101, Summerville, SC 29486
Mon-Thursday: 8:00am- 5pm Fridays: 8:00am-1pm
Requirements:
· Minimum of two years experience involving prior authorization
· Demonstrate proficiency in keyboarding/computer use
· Strong organizational and task prioritization skills
· Patient advocacy focus
· Ability to understand benefit and eligibility issues with insurance carriers
· Ability to communicate with insurance company representatives and patients in a professional manner
· Excellent problem solving skills
· Knowledge of medical terminology, CPT, ICD-10, and HIPAA regulation
· Perform to company standards of compliance with policies and procedures.
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