Subrogation Negotiator

at MultiPlan in Naperville, Illinois, United States

Job Description

At MultiPlan, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.
Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!
This role manages a paperless healthcare subrogation case load through investigation, pending and settlement stages of the recovery process. The Discovery work environment is team oriented; the incumbent will coordinate efforts with the team and attorneys to bring matters to efficient and successful outcomes. The incumbent's primary responsibility will be negotiating reimbursement of the health plan's lien on settlement proceeds and is accountable for managing the coordination of claim payments among health plans and other responsible parties through recovery of 1st and 3rd party funds.
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JOB ROLES AND RESPONSIBILITIES:
1. Conduct due diligence (e.g. online research, insurance verification, and court record searches) to assist with collections and preservation of lien rights
2. Work all aspects of the recovery process following client specific procedures and guidelines, and maintain a calendar diary to monitor case activity, and provide feedback to management and unit on trends or developments
3. Negotiate health plan medical claim settlements
4. Identify and develop subrogation opportunities and place parties of interest on notice
5. Respond timely to all electronic, written and verbal communications, log information derived from written and verbal communication; where required maintain detailed and accurate records
6. Research and request case information to develop cases, access and pull benefits from clients' remote health claim systems
7. Pursue worker's compensation, third party liability, first party uninsured and underinsured recovery, worker's compensation, med-pay coverage and no-fault recoveries.
8. Understand basic health plan contractual provisions and apply to the reimbursement efforts, ensure compliance of state and federal laws and settlement authority levels
9. Maintain department productivity and quality standards
10. Sensitivity to privacy in accordance with HIPAA guidelines
11. Collaborate, coordinate, and communicate across disciplines and departments.
12. Ensure compliance with HIPAA regulations and requirements.
13. Demonstrate Company's Core Competencies and values held within.
14. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
15. 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:
Keep the needs of external and internal customers as a priority when making decisions and taking action. Operates independently under limited supervision. Has decision making authority within specified parameters and must Engage advice and/or help of legal manager to proactively resolve cases. Works across customers, beneficiaries, providers, and supplemental payors while maintaining positive relationships.

As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law.  Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled