[Hiring] Recovery Specialist @Sanford Health

Role Description

The Recovery Specialist is responsible for the identification and research of third party claims. Works for the recovery of overpayments involving:

• Workers compensation
• No-fault
• Hospital liens
• Any other type of accident or liability claims

Key responsibilities include:

• Identifying legal liability and pursuing, negotiating, and settling subrogation, liens, and reimbursement recoveries.
• Applying applicable laws, regulations, and policy language to achieve recoveries in accordance with mandates.
• Negotiating lien settlements with attorneys and other responsible representatives to obtain maximum recovery.
• Assisting in response to Summons and Complaint and interrogatories from attorneys where suit has been commenced.
• Communicating legal rights to all involved parties, placing them on notice of lien.
• Reviewing medical charges to identify relatedness.
• Maintaining detailed recovery records to ensure case facts are accurate.
• Maintaining a high level of technical skill and knowledge of recovery processes to act as a resource to the department.
• Reviewing and meeting ongoing competency requirements of the role to maintain the skills, knowledge, and abilities to perform, within scope, role specific functions.

Qualifications

• Associates degree in business, legal, or healthcare related field required. In lieu of education, leadership may accept three years’ applicable work experience.
• Minimum of one year work experience with coding, insurance processes, liability, subrogation, coordination of benefits or workers' compensation claim adjudication.
• CSRP (Certified Subrogation Recovery Professional) designation from NASP (National Association of Subrogation Professionals) preferred.

Company Description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.