Third Party Recovery Lead
Third Party Recovery Lead
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Summary
Under the direction of the Accounting Supervisor leads Associates and is responsible for all pertinent functions related to coordination of benefits provider refunds and subrogation recoveries. Serves as the subject matter expert in thirdparty recovery and all related areas. Provides support and guidance in the responsibilities for contacting insurance carriers providers and other intermediaries to obtain information on other insurance coverage for El Paso Health or Preferred Administrators members. Ensures that detailed documentation is obtained to assist in subrogation recoveries whenever needed. Oversees the preparation of specific State mandated monthly and quarterly reporting as it pertains to ThirdParty Recovery (TPR) processes. Serves as the liaison between ThirdParty Recovery and Finance. Works closely with Finance by providing support in key areas such as performing claims check processing for specific product lines during the absence of the Accountant I and assisting/crosstraining with other Finance related duties as indicated in Essential Duties/Responsibilities.
Skills
1. Knowledge of QNXT computer software programs and basic office equipment.
2. Knowledge of Medicare Medicaid and all other thirdparty billing requirements.
3. Effective written and verbal communication skills.
4. Analytical and problemsolving skills required.
5. Tenkey by touch required.
6. Must have the ability to accurately enter data describing appropriate followup activity.
7. Bilingual (English/Spanish) preferred.
Work Experience
Five years of healthcare/managed care experience in a business office collections setting is required. Strong understanding of health insurance provider contracts and basic coordination of benefit and subrogation process is required. Knowledge of medical terminology and CPT coding is preferred.
License/Registration/Certification
None.
Education and Training
High school diploma or equivalent is required. Associate degree is preferred.
Employment Type
Full-Time
