Job Description
Job Description
Job Title: Case Management
Location: Albany, NY (Remote)
Duration: 06+Months(with high possibility of extension)
We are mostly remote but xmay require occasional in office lien processing (up to two days per month).
Job Description:
We are seeking a talented individual for a Subrogation Specialist who is responsible for processing all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes intake, maintenance, claims review and selection, management, settlement and related functions to the case.
Your Role in Our Mission
- Ensure all processes meet HIPAA and Government security requirements with regards to sharing/storage/PHI (Personal Health Information).
- Utilize complex analytical skills to manage subrogation cases, notate files and negotiate settlements on 700 – 1,000 cases at a time
- Interact professionally, primarily using incoming and outgoing calls, with attorneys, insurance adjusters, medical providers, court staff, recipients and family members and clients
- Prepare required correspondence, liens, claims and other related documents to progress the case to recovery.
- Meet department objective standards for Customer Service, settlement goals and file handling guidelines.
- Perform basic and advanced levels of document review to identify current case status, legal research, and case management and ensure case progress through workflow
- Confirm documentation of eligibility for beneficiaries.
- Conduct all case document review and updates as needed.
- Confirm and validate third party liability and, probate and beneficiary asset research.
- Compile, analyze and make conclusions about case information and status from multiple sources.
- Process all claim/lien disputes and review claims with attorneys and other stakeholders.
- Conduct outgoing periodic follow up on case status and payment.
- Negotiate and compromise claim/lien settlement amounts per contract guidelines.
- Sign and file notarized documents with counties on applicable cases
- Prioritize case events and critical case payment/recovery issues, while meeting, various internal and legal deadlines that are revenue impacting.
- Meet file handling and phone call metrics related to each case.
What We're Looking For
- Medicaid and/or Medicare knowledge preferred.
- Ability to interact with all levels of people both internally and externally in a professional manner.
- Ability to be careful and thorough about detail including with cite-checking and proofreading skills.
- Ability to multi-task and prioritize effectively.
- Knowledge of Microsoft Word and Excel required
- Ability to work proficiently with Microsoft Office, PowerPoint, Word, and Excel required.
- Basic knowledge of Microsoft Access preferred.
- Ability to work independently to meet objectives.
- Ability to analyse information and use logic to address work-related issues and problems.
- Ability to perform well in team environment, to achieve business goals.
- Ability to maintain a high level of confidentiality and ethics.
- Ability to handle pressure and manage deadline-oriented project demands and multiple initiatives.
- 2 years of relevant experience
- Experience in a Legal office preferred; paralegal or legal assistant and/or experience in the insurance industry (casualty or health insurance) preferred.
Company DescriptionSelect Source International (SSI) is a distinguished staffing company with nearly 25 years of experience, renowned for delivering top-tier workforce solutions encompassing staffing, recruiting, and managed services. As a proud supplier, we bring a wealth of expertise and best-in-business differenti
Editing this field will affect all jobs at this hiring company
Who should get alert emails for new candidates?ators to comprehensively support your diverse workforce needs.
Based in Minneapolis, Minnesota, USA, SSI has established itself as a global leader, serving a broad clientele across industries with unwavering dedication and excellence. SSI is ISO 9001, 14001, and Soc2 Type2 certified, underscoring our commitment to quality and security. We have garnered numerous sustainability and supplier diversity awards, further validating our industry-leading capabilities
Company Description
Select Source International (SSI) is a distinguished staffing company with nearly 25 years of experience, renowned for delivering top-tier workforce solutions encompassing staffing, recruiting, and managed services. As a proud supplier, we bring a wealth of expertise and best-in-business differenti\r\nEditing this field will affect all jobs at this hiring company\r\n\r\nWho should get alert emails for new candidates?ators to comprehensively support your diverse workforce needs.\r\n\r\nBased in Minneapolis, Minnesota, USA, SSI has established itself as a global leader, serving a broad clientele across industries with unwavering dedication and excellence. SSI is ISO 9001, 14001, and Soc2 Type2 certified, underscoring our commitment to quality and security. We have garnered numerous sustainability and supplier diversity awards, further validating our industry-leading capabilities