CTG Subrogation Case Worker in Phoenix, Arizona

Title: Subrogation Case Worker

Location: US-AZ-Phoenix

Job Number: 18205184

CTG's premier client has an immediate opening for a Subrogation Case Worker II for a contract to hire assignment.

Position Title: Subrogation Case Worker II

Duration: 3 Month Contract to Hire

Location: Onsite in Phoenix, AZ

Pay rate: $20-$22 an hour with perm salary range upon conversion of $40-$45k

Required Function:

The Subrogation Case Worker II is responsible for processing all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries. This includes intake, maintenance, claims review and selection, management, settlement and related functions to the case.

Main Duties & Responsibilities:

  • Responsible for cases with greater financial impact for the client

  • May serve as an escalation point for other case workers

  • Will have training responsibilities for other case workers limited to projects or specific tasks

  • Effectively work, maintain and manage a variety of cases with current and accurate notes

  • Maintain a daily system of providing timely and accurate information required to move cases through the verification and case management pipeline.

  • Verify documents and coordinate health care coverage for patients, including eligibility of benefits

  • Professional interaction with attorneys, insurance adjusters, medical providers, court staff, recipients and family members

  • Negotiate lien settlements per contract guidelines

  • Prepare required correspondence, liens, claims and other related documents

  • Perform basic and advanced levels of document review, legal research, and case management

  • Compile, analyze and make conclusions about information from multiple sources

  • Give special attention to the timely processing of events, various legal deadlines, and critical accounting/finance issues

  • Process Intake referral leads from attorneys, insurance adjusters, personal representatives, stakeholders and medical providers

  • Review and research leads regarding potential accident or trauma situations

  • Handle phone inquiries for both demand package issues and from beneficiaries promptly and with courtesy

  • Meet department objective standards for Customer Service, Probate Research, Document Review and Intake

  • Complete periodic reports for management when necessary

Required Skills:

  • Microsoft Word is needed for this role

  • Processing claims experience is a plus

  • Knowledge of Medicaid is preferred

  • Paralegal certificate desired; Experience in paralegal or a Legal office is highly preferred

  • If no paralegal experience, 5 years of subrogation experience required

Required Education/Experience

  • High School Diploma or GED; Associates degree preferred

  • 3 years of experience working in a professional office environment required

  • Skilled tenure experience

  • Ability to interface with all levels of people both internally and externally in a professional manner.

  • Ability to communicate and comprehend well both verbally and in writing, fluently in English; Bilingual (Spanish & English) a plus

  • Ability to be careful and thorough about detail including with cite-checking and proofreading skills

  • Ability to work proficiently with Microsoft Office, Word, and Excel

  • Basic knowledge of Microsoft Access preferred

  • Ability to work independently to meet objectives

  • Ability to maintain a high level of confidentiality and ethics

  • Ability to function effectively under pressure and manage deadline oriented project demands and multiple initiatives

  • Ability to sit for long periods of time

  • Ability to multi-task and prioritize effectively

  • Ability to perform the following: lifting, bending, pushing, pulling, stopping, kneeling, reaching, and carrying of light to heavy items (40 to 50lbs)

  • Ability to analyze information and use logic to address work-related issues and problems

  • Ability to perform oral presentations with good quality

  • Ability to perform well in team environment, to achieve business goals

  • Average manual dexterity work in use of a PC, phone, sorting, filing and other office machines

To Apply:

If interested, please immediately apply to this requisition using the link provided. For additional information, please contact Sara Wade at sara.wade@ctg.com or call 716-882-8000 x 4908.

Qualifications:

CTG (NASDAQ: CTG) provides industry-specific IT services and solutions that address the business needs and challenges of clients in high-growth industries in North America and Western Europe. CTG also provides strategic staffing services for major technology companies and large corporations. Backed by more than 50 years of experience and proprietary methodologies, CTG has a proven track record of reliably delivering high-value, industry-specific staffing services and solutions to its clients. CTG has operations in North America, Western Europe, and India.

CTG's greatest asset is its people, and as such, we are committed to providing employees programs and processes to support their performance, hone their skills, and advance in their careers. This commitment is reflected by CTG being named a Best Places to Work in Healthcare company by Modern Healthcare (2013-2016) in North America, and a Best Workplace in the United Kingdom (2013), Belgium (since 2007), and Luxembourg (since 2011).

CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.

CTG is an Equal Opportunity/Affirmative Action Employer and strong advocate of workforce diversity. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.

Job: Health Payer