Coordination of Benefits and Subrogation Specialist - Doral, United States - Leon Health

Leon Health
Leon Health
Verified Company
Doral, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Essential Duties and Responsibilities

  • Provide subrogation and workers compensation recovery services, and Medicare COB (coordination of benefits) claims review and recovery services.
  • Identify subrogation liens and initiate the appropriate collection procedures, as developed with legal counsel.
  • Collaborate with internal personnel, external stakeholders, and legal teams to facilitate subrogation recovery efforts.
  • Maintain detailed documentation of subrogation cases, including correspondence, payments, and resolutions.
  • Generate reports on subrogation recovery activities and coordination of benefits verification for internal analysis.
  • Ensure compliance with CMS guidelines and regulations related to the abovedescribed processes.
  • Stay updated on changes in Medicare Advantage requirements and implement necessary adjustments to operational procedures.

Qualifications

  • Bachelor's degree
  • Preferred minimum of 2 years of experience in Medicare Advantage programs, coordination of benefits, subrogation, or similar roles.
  • Exceptional organizational skills
  • Excellent communication skills, both written and verbal, with the ability to effectively communicate with external stakeholders.

Benefits:


  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Experience level:

  • 2 years

Schedule:

  • 8 hour shift

Work Location:
In person
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