Remote Third-Party Liability Specialist

Mass General Brigham Health Plan Holding Company, Inc.; Somerville (MA); Remote; USD 28,000 - 39,000; Full time

Job summary

Mass General Brigham Health Plan Holding Company, Inc. seeks a detail-oriented Third-Party Representative to help identify recovery opportunities and manage subrogation communications with attorneys, providers, members, and insurers.

You'll review PIP/Worker's Compensation claims, verify patient coverage, and coordinate benefits among primary, third-party, and government programs, while handling confidential information with discretion in a remote, full-time role.

Qualifications

• Knowledge of healthcare billing practices and claims processing.
• Strong understanding of third-party liability regulations and claims processes.
• Excellent communication and customer service skills.

Responsibilities

• Identify recovery opportunities within coordination of benefits/third party liabilities.
• Research and process PIP/Workers' Compensation claims.
• Verify patient information and coverage details; coordinate benefits among primary, third-party, and government programs.
• Respond to providers, members, and internal inquiries related to TPL cases.

Skills

Healthcare billing

Claims processing

Communication

Customer service

Education

High School Diploma or Equivalent

Associate's Degree preferred

Job description

Mass General Brigham Health Plan Holding Company, Inc. seeks a detail-oriented Third-Party Representative to help identify recovery opportunities and manage subrogation communications with attorneys, providers, members, and insurers.

You'll review PIP/Worker's Compensation claims, verify patient coverage, and coordinate benefits among primary, third-party, and government programs, while handling confidential information with discretion in a remote, full-time role.