Medical Recovery Specialist

3 days ago


Canton, Massachusetts, United States The Phia Group Full time
About The Phia Group

The Phia Group is a leading provider of claim recovery services for health benefit plans. Our team of experts works tirelessly to ensure that our clients receive the reimbursement they deserve.

Job Summary

We are seeking a highly skilled and detail-oriented Healthcare Claim Investigator to join our team. As a Healthcare Claim Investigator, you will play a critical role in determining whether another proper payer exists and obtaining the details needed to pursue fund reimbursement.

Key Responsibilities
  • Communicate with plan members to determine potential sources of recovery
  • Collect adjuster and claim information from insurance carriers
  • Balance communication with clients via phone and email
  • Review plan documents for possible exclusions
  • Verify first party, workers' compensation, third party, and/or attorney representation
  • Transfer files to the appropriate Claims Recovery Specialist
  • Ensure consistency and accuracy on time-sensitive documents
  • Work collaboratively with the team to efficiently handle tasks and keep the team up to date
Requirements
  • Excellent attention to detail with the ability to multi-task
  • Excellent communication skills
  • High level of proficiency using Microsoft Word and Excel required
  • Outstanding organizational, interpersonal, and administrative skills
  • Excellent telephone, writing, and communication skills
  • Self-motivated and able to meet deadlines under pressure
  • Ability to work as part of a team and independently
Working Conditions

This is a fast-paced work environment that requires sitting at a workstation for prolonged periods of time. Extensive computer work is required, and the workstation may be exposed to overhead fluorescent lighting and air conditioning.

Equal Opportunity Employer

The Phia Group is committed to creating a diverse environment and is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.



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