Subrogation Caseworker - posted 1/21/19

Subrogation Caseworker - posted 1/21/19

Company Name: 
HMS - Health Management Systems
FT/PT Status: 
Full Time
Location
Englewood
CO
Salary Range: 
Job Summary: 

We are seeking a talented individual for a Subrogation Case Worker I who is responsible for processing all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes intake, maintenance, claims review and selection, management, settlement and related functions to the case.

Essential Responsibilities:

  • Effectively work, maintain and manage a variety of cases with current and accurate notes from creation to recovery
  • Maintain a daily system of providing timely and accurate information required to move cases through the case management workflow.
  • Confirm documentation of eligibility for beneficiaries.
  • Conduct all case document review and updates as needed.
  • Confirm and validate third party liability and, probate and beneficiary asset research.
  • Interact professionally (i.e. on incoming and outgoing calls and correspondence) with attorneys, insurance adjusters, medical providers, court staff, recipients and family members and client.
  • Prepare required correspondence, liens, claims and other related documents to progress the case to recovery.
  • Negotiate and compromise claim/lien settlement amounts per contract guidelines.
  • Process all claim/lien disputes and review claims with attorneys and other stakeholders.
  • Conduct outgoing periodic follow up on case status and payment.
  • Perform basic and advanced levels of document review to identify current case status, legal research, and case management and ensure case progress through workflow
  • Prioritize case events and critical case payment/recovery issues, while meeting, various internal and legal deadlines that are revenue impacting.
  • Compile, analyze and make conclusions about case information and status from multiple sources.
  • Meet department objective standards for Customer Service.
  • Complete periodic reports for management when necessary.
  • Ensure all processes meet HIPAA and Government security requirements with regards to sharing/storage/PHI (Personal Health Information).
  • May have some training responsibilities limited to projects and specific tasks
Requirements or Qualifications: 
• Ability to interact with all levels of people both internally and externally in a professional manner. • Ability to be careful and thorough about detail including with cite-checking and proofreading skills. • Ability to multi-task and prioritize effectively. • Ability to work proficiently with Microsoft Office, PowerPoint, Word, and Excel required. • Ability to work independently to meet objectives. • Ability to analyze information and use logic to address work-related issues and problems.
Application Process: 
Apply at hms.com/careers Req ID 19001007 Subrogation Caseworker Englewood Office
Selection Criteria: 
Application Due Date: 
February 05 2019
Additional Information: 
This job is one that you can be easily learned. It is recovering money on cases where Medicaid Recipients are in accidents where another party should have paid such as Geico, Allstate etc but Medicaid initially paid. You will be working on a wide variety of personal injury cases on behalf of Medicaid. 17 PTO days, 11 Holidays - Full Benefits, 401K , Paid Tuition and a big focus on Employee engagement. If the link does not work please email nfrenchmack@hms.com