SUBROGATION ANALYST-PHP
Location: Albuquerque, New Mexico
Description: Presbyterian Healthcare Services is at present recruited SUBROGATION ANALYST-PHP right now, this position will be presented in New Mexico. Further informations about this position opportunity please read the description below. Minimum Skills/Requirements
High School education (GED) required. A minimum of three years experience in claims processing including adjustments is require! d, or relevant experience with subrogation activities. Must have knowledge of Coordination of Benefit (COB) determination. Experience in collections helpful. Demonstrated ability to communicate effectively in person, via telephone and in writing. Requires good organizational skills, the ability to analyze reports and system process. Microsoft Word and Excel experience is essential
Primary Job Functions
Reviews and evaluates new subrogation files, including investigation to determine availability and appropriateness of subrogation and prepares and distributes claim history summaries and notification letters to members, providers, insurance representatives, and attorneys within established timeframes.
Reviews and evaluates existing subrogation files, including investigation to determine availability and appropriateness of subrogation and maintains periodic contact with attorneys, members, and insurance representatives, as needed, regarding status of! open subrogation claims within established timeframes. Prepar! es and distributes claim history summaries and notification letters to members, providers, insurance representatives, and attorneys within established timeframes.
Reviews claim information and reports to identify potential subrogation cases. Sends questionnaires when appropriate. Enters information in the subrogation database and FACETS member notes.
Performs other functions as necessary.
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If you were eligible to this position, please deliver us your resume, with salary requirements and a resume to Presbyterian Healthcare Services.
Interested on this position, just click on the Apply button, you will be redirected to the official website
This position will be started on: Fri, 28 Jun 2013 20:45:11 GMT
Apply SUBROGATION ANALYST-PHP Here