Third Party Liability Case Manager Team Lead in Roswell, GA at Prestige Staffing

Date Posted: 4/1/2021

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Roswell, GA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    4/1/2021

Job Description

JobID: 30119

Prestige Staffing is looking for team lead for the patient account representatives team who work on third party liability claims. Experience working automobile medical pay as well as workers compensation claims. Will work daily with auto insurance adjusters, attorneys, providers and patients to help problem solve each claim.

Job Duties:

  1. Accurately code and work each claim
  2. Able to lead 15 people in the insurance industry
  3. Very knowledgeable on HIPAA laws
  4. Handle high volume of incoming calls from auto insurance adjusters, legal offices, and patients
  5. Submit medical claims to auto and workers compensation insurance companies electronically as well as fax.
  6. Contact insurance companies to validate receipt of the claim and obtain claim status
  7. Negotiate settlements with insurance carriers and attorneys
  8. Write appeals and resubmit claim to insurance carriers
  9. Maintain accurate notes in billing systems

Requirements:

  • Knowledge of Health and Auto Insurance claims process
  • Experience in resolving bodily injury claims
  • Proven leadership abilities
  • Excellent customer service and phone etiquette
  • Ability to work with quality and accuracy
  • Computer literate and comfortable using EMR software programs
  • Minimum of high school diploma plus several years of healthcare or insurance TPL claims experience
  • Bachelor’s degree a plus
  • 4 years of recent TPL claims (third party liability)
  • UB04 billing and collection experience helpful
  • Able to work remote with a designated quiet space and high speed internet access until back in the office after COVID

Benefits:

Full paid medical, dental, and vision insurance for the employee!!!

Normal business hours M-F

Apply today for immediate consideration.