[Hiring] Third Party Liability Representative @Mass General Brigham

Role Description

The Third-Party Representative will be responsible for investigating potential recoveries for third party liabilities through various methods. This person will manage communications with internal and external parties and conduct high-level research related to validation of subrogation.

• Responsible for identifying recovery opportunities within the coordination of benefits/third party liabilities department.
• Adhere to state statutes and regulations regarding medical liens, including completing requests for liens/updated liens from attorneys and negotiating lien settlements with attorneys according to guidelines.
• Research and process PIP/Worker’s Compensation claims.
• Process TPL payments according to desktop procedures, contractual requirements, and other regulatory requirements.
• Verify patient information and coverage details, and coordinate benefits between primary health insurance, third-party payers, and government programs.
• Responsible for phone calls to or from members, providers, attorneys, and other auto insurance companies to gather MVA and Workers Comp information.
• Act as liaison for all TPL-related inquiries and issues both internal and external to the organization.

Qualifications

• High School Diploma or Equivalent required; Associate's Degree preferred.
• At least 1-2 years of experience in healthcare billing, claims management, or third-party liability preferred.
• Knowledge of healthcare billing practices, insurance coordination, and claims processing.
• Strong understanding of third-party liability regulations and claims processes.
• Excellent communication and customer service skills.
• Ability to handle sensitive information with discretion and confidentiality.
• Strong problem-solving and analytical abilities.
• Excellent organizational and multitasking skills with attention to detail and accuracy.
• Clear communication and interpersonal skills.

Requirements

• This is a full-time schedule with a Monday through Friday, 8:00 AM - 4:30 PM ET schedule.
• This position is eligible for remote work from approved U.S. locations, subject to organizational requirements.
• Remote employees must maintain a stable internet connection and a secure, private, quiet workspace appropriate for handling confidential and protected health information.
• Remote workspace requirements, including privacy and security standards, may be verified in accordance with organizational policy.

Benefits

• Competitive salaries.
• Flexible work options.
• Career growth opportunities.
• Comprehensive benefits package.