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Change Healthcare TPCA Resolution Specialist in Helena, Montana

This position is responsible for providing high quality customer service with patients, insurance carriers and attorneys to uncover auto insurance leads, expedited claim resolution and payment on a patient’s account.

Essential Duties and Responsibilities:

  • Initiate outbound calls to patients to complete accident interviews via telephone.

  • Investigate and confirm any medical coverage related to auto, general liability, and/or worker compensation insurance available to the patient, updating the patient file in Pace and the hospital system.

  • Contact Auto/Work Comp insurance carriers and attorneys via telephone to identify available accident insurance coverage for the patient.

  • Verify patient’s eligibility for coverage and obtain billing contact information for the insurance adjuster and/or attorney.

  • Send hospital bill to no-fault, third party and workers’ compensation insurances via fax, mail and e-mail.

  • Request documentation where applicable or payment and account status from insurance adjuster or attorney.

  • Identify any patient attorney representation and confirm patient representation with the attorney office, recording the attorney information in the patient file in the system.

  • Maintain proper account documentation in CHC’s Case Management System

  • Send correspondence to patient, insurance adjusters and attorneys.

  • Receiving inbound calls from patients, attorneys, insurance companies, etc. and being able to identify the callers need to help come to a resolution (Hunt Group).

Requirements:

Education

• High School Diploma or GED, Bachelor’s Degree Preferred

Experience / Abilities:

  • Minimum of one-year revenue cycle (ex: insurance billing, collections) experience.

  • Property and Casualty (Auto Insurance, Workers’ Compensation) experience preferred.

  • Health Insurance Appeals experience preferred.

  • Subrogation and Coordination of Benefits experience preferred.

  • Strong Communication Skills.

  • Excellent Customer Service Skills.

  • Ability to work collaboratively with a team.

  • Ability to communicate effectively with patients, hospital staff, adjusters and attorneys.

  • General knowledge of commercial health, Medicare, Medicaid, Auto, Work Comp Insurance.

  • Assertive and proactive attitude towards claims resolution.

    Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

COVID Mandate

As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment.

As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

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