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Resolution Specialist 2

Company: Change Healthcare
Location: Olympia
Posted on: September 20, 2022

Job Description:

What will I be responsible for in this job? (brief summary of the role)

  • Initiate outbound calls to patients to complete accident interviews via telephone
  • Investigate and confirm any medical coverage related to auto, general liability, and/or worker compensation insurance available to the patient, updating the patient file in the system
  • Contact Auto/Work Comp insurance carriers and attorneys via telephone to identify available accident insurance coverage for the patient
  • Verify patients eligibility for coverage and obtain billing contact information for the insurance adjuster and/or attorney
  • Send hospital bill to no-fault, third party and workers compensation insurances via fax, mail and e-mail
  • Follow up for with insurance carriers and attorneys for expedited resolution and payment on patients account
  • Request documentation where applicable or payment and account status from insurance adjuster or attorney
  • Identify any patient attorney representation and confirm patient representation with the attorney office, recording the attorney information in the patient file in the system
  • File Hospital Liens (where applicable) and assist in settlement negotiation between the hospital and patients attorney/insurance adjuster
  • Maintain proper account documentation in CHCs Case Management System
  • Send correspondence to patient, insurance adjusters and attorneys
  • Complete account documentation and return account to the hospital once claim has been resolvedWhat are the requirements?
    • Minimum of one year revenue cycle (ex: insurance billing, collections) experience
    • Property and Casualty (Auto Insurance, Workers Compensation) experience preferred
    • Health Insurance Appeals experience preferred
    • Subrogation and Coordination of Benefits experience preferred
    • High School Diploma or equivalent
    • Bachelors degree preferredWhat critical skills are needed for you to consider someone for this position?
      • Strong communication skills
      • Excellent customer service skills
      • Ability to work collaboratively with a team
      • Ability to communicate effectively with patients, hospital staff, adjusters and attorneys
      • General knowledge of commercial health, Medicare, Medicaid, Auto, Work Comp Insurance
      • Assertive and proactive attitude towards claims resolutionWhat other skills/experience would be helpful to have?How much should I expect to travel?Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system! COVID Vaccination Requirements We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and we may require periodic testing for certain roles. In addition, some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcares Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) . Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

Keywords: Change Healthcare, Olympia , Resolution Specialist 2, Other , Olympia, Washington

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