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Third Party Liability Specialist (Remote)
REQ-2024-133
Portland, ME
Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond.
As a joined force of "people caring for people, " Martin's Point employees are on a mission to transform our health care system while creating a healthier community.
Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day.
Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work " since 2015.
Position Summary
The Third-Party Liability Specialist is a crucial member of our team, focusing on managing and facilitating Martin's Point's third party liability operations process in accordance with established policies and procedures.
This role involves comprehensive handling of processes such as research, investigation, collection, documentation, and both internal and external reporting to ensure compliance and efficiency in third party liability matters.
This position offers a remote work schedule with occasional travel to Portland, Maine.
Job Description
Process Implementation : Successful execution and ongoing improvement of the third-party liability process. This includes an in-depth understanding of relevant laws and regulations, policy and procedure reviews, case research, database management, and effective lien negotiation strategies.
Continue timely submission of bills, liens and other information to attorneys and insurance companies.
Communication : Professional interactions with members, attorneys, and adjusters, ensuring proactive follow-up on case statuses and protections.
Ensure clear, timely, and effective communication with all stakeholders.
Education / Experience :
Skills / Knowledge / Competencies (Behaviors) :
We are an equal opportunity / affirmative action employer.
Do you have a question about careers at Martin's Point Health Care? Contact us at : [email protected]
To apply, visit https : / / martin.wd1.myworkdayjobs.com / en-US / MPHC / job / Portland-ME / Third-Party-Liability-Specialist REQ-2024-133.
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Posted by the FREE value-added recruitment advertising agency
jeid-68d405e71474514296aad6a6e2431d05
Full Time
Insurance
$63k-78k (estimate)
04/29/2024
05/19/2024
martinspoint.org
PORTLAND, ME
500 - 1,000
1981
DAVID HOWES
$200M - $500M
Insurance
Martins Point Health Care is an innovative not-for-profit health care organization offering high-quality, affordable health care and coverage to the people of Maine and throughout New England. Martins Point has seven health care centers in Maine and New Hampshire offering primary and specialty care to those with most major health insurance plans. Martins Point also administers two health insurance plans: Generations Advantagewith the only 5-Star Medicare Advantage plans in northern New England, and the US Family Health Plan for active duty military families and retirees throughout most of nort...hern New England and New York. We believe that understanding both the clinical and health plan administrative side gives us the insight we need to make meaningful improvements to the health care system. Martins Point is dedicated to creating a community of healthy people through authentic relationships and trust.
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