Subrogation & Liens Recovery Specialist

10000 Sanford; Wisconsin; Hybrid; USD 25,000 - 40,000; Full time

Job summary

Sanford Health is seeking a Recovery Specialist to identify and research third party claims and pursue subrogation recoveries across workers' compensation, hospital liens, and related liability cases. You will negotiate settlements with attorneys, review medical charges for relevance, and maintain detailed case records to support recoveries.

The role requires an associates degree in a related field or three years of equivalent experience, with a CSRP designation preferred; a talent for precise

Qualifications

• Minimum of one year work experience with coding, insurance processes, liability, subrogation, coordination of benefits or workers' compensation claim adjudication.

Responsibilities

• Applies applicable laws, regulations, and policy language to achieve recoveries in accordance to mandates.
• Negotiates lien settlements with attorneys and other responsible representatives to obtain maximum recovery.
• Assists in response to Summons and Complaint and interrogatories from attorneys where suit has been commenced.
• Communicates legal rights to all involved parties placing them on notice of lien.
• Reviews medical charges to identify relatedness.
• Maintains detailed recovery records to ensure case facts are accurate.
• Maintains a high level of technical skill and knowledge of recovery processes to act as a resource to the department.
• Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge and abilities to perform, within scope, role specific functions.

Skills

Subrogation experience

Education

Associates degree in business, legal, or healthcare related field

CSRP certification (NASP)

Job description

Sanford Health is seeking a Recovery Specialist to identify and research third party claims and pursue subrogation recoveries across workers' compensation, hospital liens, and related liability cases. You will negotiate settlements with attorneys, review medical charges for relevance, and maintain detailed case records to support recoveries.

The role requires an associates degree in a related field or three years of equivalent experience, with a CSRP designation preferred; a talent for precise