Job description

Required Function 1:

• The Subrogation Case Worker I 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.

Main Duties & Responsibilities: -

• Effectively work, maintain and manage a variety of cases with current and accurate notes. -

• May have some training responsibilities for other case workers limited to projects and specific tasks.

• Maintain a daily system of providing timely and accurate information required to move cases through the verification and case management pipeline.

• Verify documents and coordinate health care coverage for patients, including eligibility for benefits. - Professional interaction with attorneys, insurance adjusters, medical providers, court staff, recipients, and family members. - Negotiate and settlements per contract guidelines. - Prepare required correspondence, lines, claims, and other related documents.

• Perform basic and advanced levels of document review, legal research, and case management. - Compile, analyze and make conclusions about information from multiple sources.

• Give special attention to the timely processing of events, various legal deadlines, and critical accounting/Nance issues.

• Process Intake referral leads from attorneys, insurance adjusters, personal representatives, stakeholders, and medical providers.

• Review and research lead regarding the potential accident or trauma situations.

• Handle phone inquiries for both demand package issues and from beneficiaries promptly and with courtesy.

• Meet department objective standards for Customer Service, Probate Research, Asset Research, Document Review, and Intake.

• Complete periodic reports for management when necessary.

Required Function 2:

Required Skills: -

• Ability to interface with all levels of people both internally and externally in a professional manner. -

• Ability to communicate and comprehend well both verbally and in writing, fluently in English. -

• Ability to be careful and thorough about detail, including cite-checking and proofreading skills. -

• Ability to work proficiently with Microsoft Office, Word, and Excel.

• Ability to work independently to meet objectives.

• Ability to maintain a high level of confidentiality and ethics.

• Ability to function effectively under pressure and manage deadline-oriented project demands and multiple initiatives. -

• Ability to sit for long periods & multi-task and prioritize effectively.

• Ability to perform the following: lifting, bending, pushing, pulling, stooping, kneeling, reaching, and carrying light to heavy items (40 to 50lbs).

• Ability to analyze information and use logic to address work-related issues and problems. -

• Ability to perform oral presentations with good quality.

• Ability to perform well in a team environment, to achieve business goals.

• Average manual dexterity work in the use of a PC, phone, sorting, filing, and other office machines.

Required Education/Experience: -

• High School Diploma or GED - Associates degree preferred - Paralegal certificate desired -

• 3 years of experience working in a professional office environment.

• Experience in a Legal office is a plus. Basic knowledge of Microsoft Word and Excel. - Basic knowledge of Microsoft Access preferred. - Medicaid and/or Medicare knowledge preferred. - Bilingual (Spanish & English) a plus.us.

Job Type: Contract

Salary: $14.71 - $17.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Do you have knowledge in Medicaid and/or Medicare ?
• Do you have Paralegal certificate?

Education:

• Associate (Required)

Experience:

• Microsoft Office: 1 year (Required)

Work Location: Remote

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