Job Title: Case Management, Associate
Location: Remote (2 days a month onsite in Albany, NY)
Duration: Contract – 6 months
Job Description
Have strong experience in high-volume subrogation case management, legal documentation, and stakeholder communication and a proven ability to negotiate settlements, drive recoveries, and maintain compliance with HIPAA and security standards.
Responsibilities:
- Comply with HIPAA and government security standards for handling PHI.
- Manage a caseload of approximately 700–1,000 subrogation cases, including file notation, settlement negotiation, and recovery execution.
- Engage professionally with attorneys, insurers, medical providers, court staff, clients, recipients, and family members via inbound and outbound calls.
- Prepare and process correspondence, liens, claims, and case materials to advance resolutions.
- Meet departmental standards for customer service, settlement targets, and file management.
- Conduct document reviews, perform legal research, and progress cases through workflows on time.
- Verify beneficiary eligibility and update case documentation.
- Confirm third-party liability, probate details, and beneficiary assets through research.
- Analyze data from multiple sources to determine case status and inform decisions.
- Handle claim and lien disputes, collaborating with attorneys and stakeholders to resolve issues.
- Perform periodic follow-ups on status and payment progress.
- Negotiate and settle claim or lien amounts under contractual guidelines.
- Execute and file notarized documents with county offices as applicable.
- Prioritize critical events and revenue-impacting deadlines while maintaining legal and internal compliance.
- Consistently meet productivity metrics for file handling and call volume.
Required Skills & Qualifications:
- HS Diploma or GED.
- Minimum 2 years of relevant experience in case management, claims, or a related discipline.
- Proficiency in Microsoft Word, Excel, and PowerPoint.
- Strong analytical and problem-solving abilities with attention to detail, cite-checking, and proofreading accuracy.
- Effective communication skills with internal and external stakeholders across levels.
- Ability to manage multiple priorities, meet deadlines, and perform under pressure while maintaining confidentiality and ethical standards.
Preferred Skills:
- Knowledge of Medicaid and/or Medicare.
- Basic knowledge of Microsoft Access.
