About this role
Healthcare Subrogation Specialist Level 1 is an entry-level position responsible for assisting with the identification, management, and resolution of subrogation claims within the healthcare setting. This role involves reviewing claims, coordinating with insurance carriers and attorneys, and maintaining accurate records to facilitate the recovery of funds owed to the healthcare organization. The Specialist work under the guidance of more experienced team members to learn and apply subrogation processes effectively
- Claims Review and Analysis Assist in reviewing patient records and insurance information to identify potential subrogation claims.
- Gather and verify claimrelated documentation, including medical records, insurance policies, and accident reports.
- Claims Management Assist in preparing and submitting subrogation claims to insurance companies, attorneys, and other third parties.
- Track and monitor the status of newly submitted claims, and update records accordingly.
- Reporting and Documentation Generate and maintain reports on claim status, recovery progress, and outstanding balances for management review.
- Prepare documentation and summaries for internal and external audits as needed.
- Customer Service Aid patients, attorneys, and insurance representatives with inquiries related to subrogation claims' Address and resolve issues or discrepancies related to claims in a professional and timely manner
- Interpersonal skills like listening, questioning, intonating.
- Self-driven, result oriented, team player.
- Should possess right attitude, patience and a habit of working hard.
- Hands on experience in MS Office Suite (Word, Excel).
- Solid analytical skills
- Curiosity and interest in analyzing, understanding process in depth.
- Maintaining accurate file documentation.
- Responding timely to all electronic, written and verbal communications.
- Using available resources to investigate on paid claims.
- Reviewing and evaluating accident or incident reports, individual claims, medical or other documents relating to funds paid.
Maintaining a high level of productivity, Quality and confidentiality.
- Experience in healthcare billing or administrative support is a plus 0 - 1 Year
Qualifications
- 12th Grade
- Experience:
- 1 to 3 years’ experience in a corporate company
- US Healthcare Experience preferred
Communication
- Strong analytical skills, excellent documentation abilities, and proficiency in system usage.
- Working Hours:
- 40 hours per week as Full-time employee
- Weekends: Off
- Work Model: Work from home/Hybrid
- Location: Chennai