Recovery Specialist

Sanford Health • Marshfield, WI

1d • $18 - $29

About The Position

The Recovery Specialist is responsible for the identification and research of third party claims. Works for the recovery of overpayments involving workers compensation, no-fault, hospital liens, and any other type of accident or liability claims. Identifies legal liability, and pursues, negotiates, and settles subrogation, liens, and reimbursement recoveries.

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.

Nice To Haves

• CSRP (Certified Subrogation Recovery Professional) designation from NASP (National Association of Subrogation Professionals) preferred.

Responsibilities

• Applies applicable laws, regulations, and policy language to achieve recoveries in accordance to mandates.
• Negotiates lien settlements with attorneys and other responsible representatives to obtain maximum recovery.
• Assists in response to Summons and Complaint and interrogatories from attorneys where suit has been commenced.
• Communicates legal rights to all involved parties placing them on notice of lien.
• Reviews medical charges to identify relatedness.
• Maintains detailed recovery records to ensure case facts are accurate.
• Maintains a high level of technical skill and knowledge of recovery processes to act as a resource to the department.
• Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge and abilities to perform, within scope, role specific functions.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees