Operations Support Specialist

3 weeks ago

Atlanta, United States MultiPlan Full time

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.

Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine

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The position requires the Operation Support Specialist to assist the recovery team performing various duties when needed. The duties require an intermediate knowledge of the subrogation process.  Responsibilities include sorting scanning incoming correspondence, data entry, and creating new Subrogation cases.

JOB ROLES AND RESPONSIBILITIES:


1. Completing data entry and new case creation.
2. Reviewing claims.
3. Retrieving, imaging and prioritizing the daily incoming mail
4. Performing ISO Index searches and identifying accidents to refer to Subrogation Specialists.
5. Generating and processing IQ batches with guidance for the Subrogation Business Analyst.
6. Obtaining information such as claims and plan documents from client remote systems.
7. Processing outgoing mail and certified mail.
8. Processing incoming emails, faxes, and voicemails onto the Discovery Case Management system.
9. Collaborate, coordinate, and communicate across disciplines and departments.
10. Ensure compliance with HIPAA regulations and requirements.
11. Demonstrate Company's Core Competencies and values held within.
12. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
13. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE:

The incumbent keeps the needs of external and internal customers as a priority when making decisions and taking action. The incumbent relies on established guidelines, policies, and procedures, allowing for little to no exercise of independent judgment. Accurate and timely processing of claim documents and requests directly impacts company revenue and client savings.

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