Recovery Specialist

🔥 44 minutes ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $18 - $29 / hour

⏰ Full Time

🟢 Junior

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Sanford Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1894

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Insurance • Healthcare • Healthcare Insurance

Sanford Health is the largest rural health system in the United States, dedicated to transforming the healthcare experience and providing access to world-class healthcare in America's heartland. Headquartered in Sioux Falls, South Dakota, Sanford Health serves over 1. 4 million patients and nearly 200,000 health plan members across 250,000 square miles. The integrated health system includes 48 medical centers, 211 clinic locations, and more than 160 senior living centers, employing 2,900 physicians and advanced practice providers. Sanford Health is committed to offering compassionate care through its Centers of Excellence, focusing on specialties such as cancer, orthopedics, women’s health, and genetics. Additionally, it provides affordable health insurance, engages in extensive clinical trials, and supports personalized genetic medicine.

📋 Description

• Identify and research third party claims • Recover overpayments involving workers compensation, no-fault, hospital liens, and other accident or liability claims • Identify legal liability and pursue, negotiate, and settle subrogation, liens, and reimbursement recoveries • Apply applicable laws, regulations, and policy language to achieve recoveries in accordance with mandates • Negotiate lien settlements with attorneys and other responsible representatives to obtain maximum recovery • Assist in responses to Summons and Complaint and interrogatories from attorneys where suit has been commenced • Communicate legal rights to involved parties and place them on notice of lien • Review medical charges to identify relatedness • Maintain detailed recovery records and ensure case facts are accurate • Maintain technical skill and knowledge of recovery processes and act as a departmental resource • Review and meet ongoing competency requirements to maintain role-specific skills, knowledge, and abilities

🎯 Requirements

• Associates degree in business, legal, or healthcare related field required • In lieu of education leadership may accept three years’ applicable work experience • Minimum of one year work experience with coding, insurance processes, liability, subrogation, coordination of benefits or workers' compensation claim adjudication • CSRP (Certified Subrogation Recovery Professional) designation from NASP (National Association of Subrogation Professionals) preferred

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