Subrogation Investigation Specialist

Cotiviti US & Canada Page; Myrtle Point (OR); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare services provider is seeking a dedicated individual for health insurance claims recovery. This role involves collaborating with clients and attorneys, documenting medical claims, and negotiating payment arrangements. Candidates should have a High School diploma and prior experience in the health insurance industry. Comprehensive benefits and a flexible work environment are provided.

Benefits

Comprehensive benefits package

401(k) savings plan

Generous paid time off

Qualifications

• Minimum 1-2 years in health insurance, medical claims, or customer service.
• Basic knowledge of HIPAA privacy and security rules.

Responsibilities

• Collaborate with clients and attorneys to recover funds.
• Document medical claims for compliance.
• Negotiate payment arrangements.

Skills

Strong verbal and written communication skills

Attention to detail

Ability to work independently

Education

High School diploma or GED

Tools

Microsoft Word

Microsoft Excel

Job description

Employer Industry: Health Insurance and Medical Claims Recovery

Why consider this job opportunity

• Base compensation ranging from $17.00 to $19.00 per hour with discretionary bonus consideration
• Comprehensive benefits package including medical, dental, vision, disability, and life insurance
• 401(k) savings plan with employer contribution
• Generous paid time off (17-27 days) and 9 paid holidays per year
• Opportunity for career advancement and growth within the organization
• Flexible remote work environment

What to Expect (Job Responsibilities)

• Collaborate with clients, attorneys, and insurance adjusters to recover funds related to accidents
• Research and document medical claims, ensuring compliance with federal and state laws
• Negotiate payment arrangements and contact involved parties to gather necessary information
• Update internal systems with detailed notes and actions taken on accounts
• Develop and maintain training materials for internal processes and systems

What is Required (Qualifications)

• High School diploma or GED required
• Minimum 1-2 years of experience in the health insurance industry, medical claims, data entry, or customer service
• Basic knowledge of Microsoft Word and Excel
• Strong verbal and written communication skills
• Working knowledge of HIPAA privacy and security rules

How to Stand Out (Preferred Qualifications)

• Basic knowledge of health insurance coverage and terminology
• Bilingual in Spanish and English
• Ability to work independently and in a team environment
• Familiarity with legal processes involved in subrogation
• Exceptional attention to detail and accuracy in documentation