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Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities. Overview of PositionInitiate 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 and updating the patient files in the system. Contact Auto/Work Comp insurance carriers and attorneys via telephone to identify available accident insurance coverage for the patient.What will be my duties and responsibilities in this job?Verify patient’s 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 patient’s account
Request documentation where applicable or payment and account status from insurance adjuster or attorney
Validate payment reimbursement per fee schedule and ensure underpayments and denials are resolved appropriately or escalated if unable to resolve
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 patient’s attorney/insurance adjuster
Maintain proper account documentation in CHC’s Case Management System
Send correspondence to patient, insurance adjusters and attorneys
Complete account documentation and return account to the hospital once claim has been resolved
What are the requirements needed for this position?High School Diploma or equivalent. Bachelor’s degree preferred
Minimum of one year revenue cycle (ex: insurance billing, collections) experience including Health Insurance Appeals experience preferred
Property and Casualty (Auto Insurance, Workers’ Compensation) experience preferred
General knowledge of commercial health, Medicare, and Medicaid
Successfully execute the responsibilities if a Resolution Specialist 1.
What other skills/experience would be helpful to have?Subrogation and Coordination of Benefits experience preferred
Strong communication skills
Excellent customer service skills
Work collaboratively with a team
Communicate effectively with patients, hospital staff, adjusters and attorneys
Assertive and proactive attitude towards claims resolution
What are the working conditions and physical requirements of this job?Environment – Office environment
Physical Requirements – Sitting, standing, walking, and using key board
Colorado Residents Only:
The base pay range for Colorado residents is $15.85 - $29.23 plus any relevant incentive pay programs that may be aligned to the role. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your base pay, Change Healthcare offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental and vision plans; wellness program; health savings account; flexible spending accounts; 401(k) retirement plan; life insurance; short-term and long-term disability insurance; Employee Assistance Program; PTO; tuition reimbursement; and employee-paid critical illness and accident insurance.Diversity, Equity & Inclusion : At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversityFeeling Inspired? Ready to #MakeAChange? Apply today!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, some individuals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. 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/OFCCPEEOSupplementFinalJRFQA508c.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%20EnglishformattedESQA508c.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 Healthcare’s 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.
