Registered Nurse – Care Manager
Advocate Aurora Health
Bilingual Subrogation Manager – Personal Injury Law
CoreBridge Solutions
full-time
Posted on:
Origin: • 🇨🇴 Colombia
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Oversee the identification, management, and resolution of liens related to personal injury cases.
- Manage the entire subrogation process, from claim investigation to recovery, ensuring timely and accurate resolutions.
- Review and validate medical bills, liens, and claims for accuracy, ensuring compliance with Medicare, Medi-Cal, VA, and private insurance regulations.
- Supervise and mentor a team of subrogation specialists, providing training, guidance, and support.
- Delegate tasks effectively and ensure specialists meet performance goals and deadlines.
- Conduct regular team meetings to review case progress, address challenges, and implement best practices.
- Lead complex negotiations with medical providers, government agencies, and insurers to reduce liens and maximize client recovery.
- Assist subrogation specialists with escalated cases, providing expertise and support.
- Ensure all subrogation activities comply with federal and state laws, including Medicare Secondary Payer (MSP) guidelines.
- Maintain accurate documentation of correspondence, settlements, and payments.
- Provide regular reports on subrogation activities, recovery metrics, and team performance to leadership.
- Identify inefficiencies in current subrogation workflows and implement improvements.
- Develop and maintain policies and procedures for the subrogation team to enhance accuracy and productivity.
Requirements
- Minimum of 5 years of experience in subrogation, lien resolution, or personal injury case management.
- At least 2 years of supervisory or team leadership experience in a related field.
- Comprehensive knowledge of Medicare, Medi-Cal, VA, and private insurance billing and subrogation processes.
- Exceptional negotiation and analytical skills.
- Strong leadership and team management abilities.
- Excellent communication skills, both written and verbal.
- Proficiency in legal and medical billing software and tools.
- Bachelor’s degree in Business Administration, Healthcare Management, Law, or a related field (preferred but not required).
- Certification in subrogation or related areas is a plus.
