Subrogation Specialist

1 month ago

Atlanta, Georgia, United States MultiPlan Full time

Company Overview: At MultiPlan, we are committed to fostering a vibrant team of forward-thinking professionals. Our mission is straightforward - we aim to transform the healthcare cost landscape for everyone involved. Our unwavering commitment to excellence in service extends to all stakeholders, driving us to consistently surpass expectations. We embrace boldness, encourage innovation, promote accountability, celebrate diversity, and empower one another to unlock our collective potential.

Position Summary: This role serves as a hybrid position within Shared Services for Subrogation. The Subrogation Analyst will focus on three main areas of responsibility, rotating based on business needs and guidance from the Subrogation leadership team. This role involves managing a high volume of incoming calls to handle a digital health insurance subrogation caseload by investigating potential cases and pursuing recoveries related to med-pay, no-fault, liability, and workers' compensation.

Key Responsibilities:

  1. Adhere to client-specific procedures and guidelines, ensuring compliance with state and federal regulations.
  2. Identify and cultivate subrogation opportunities, including establishing new cases from various communication channels, such as a high-volume call center and a centralized digital mailroom.
  3. Conduct outbound communications with law firms and insurance providers to gather case information for development and notify relevant parties.
  4. Provide call center support as needed by handling inbound calls and documenting cases accurately.
  5. Respond promptly to all forms of communication, maintaining detailed and accurate records, and managing a calendar diary to track case activities.
  6. Assess case viability and discontinue pursuit when appropriate.
  7. Maintain comprehensive case records and calendar diaries to monitor activities and meet departmental expectations.
  8. Uphold productivity and quality standards within the department.
  9. Collaborate and communicate effectively across various disciplines and departments.
  10. Exhibit flexibility to switch between different primary tasks to meet the current needs of the business and engage in additional projects as directed by Subrogation leadership.
  11. Ensure adherence to HIPAA regulations and requirements.
  12. Demonstrate the company's core competencies and values.
  13. Due to exposure to sensitive data, this role is classified as a High-Risk Role.
  14. Seek management assistance proactively to resolve cases and provide feedback on trends or developments.
  15. Note that the responsibilities outlined above are not exhaustive; additional duties and qualifications may be assigned as necessary.

Job Scope: The incumbent operates under general supervision, prioritizing the needs of both external and internal customers in decision-making and actions. Communication occurs across a diverse base of clients, members, and their employers. Success in this role requires openness to feedback, teamwork, and a proactive approach to improving departmental processes. This position is multi-functional, necessitating the ability to balance various projects. Decision-making is guided by established protocols and may often require escalation to higher management levels.

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