Discovery Health Partners offers payment and revenue integrity solutions that help health payers improve revenue, avoid costs, and enhance the member experience. We offer a unique combination of deep healthcare expertise and analytics-powered technology solutions to help our clients improve operational efficiency, achieve financial integrity, and generate measurable results.

POSITION DESCRIPTION:

Discovery Health Partners is looking for an Investigation Specialist in a health insurance call center. This position will involve taking a high volume of inbound calls to process a paperless health insurance subrogation caseload by investigating potential cases and pursuing med-pay, no-fault, liability, and workers’ compensation recoveries.  The Discovery Health Partners work environment is team-orientated. The Investigation Specialist will coordinate efforts with other members of the subrogation team to maximize recovery in accordance with Discovery’s Subrogation Policies and Procedures.

KEY RESPONSIBILITIES & JOB FUNCTION:

• Complying with HIPAA regulations as well as Discovery’s HIPAA and Information Security policies and procedures, including required training and incident reporting.
• Manage a high volume of inbound calls in a timely manner
• Record detailed and accurate case information obtained from calls or written correspondence
• Research and request case information to develop cases
• Access and acquire benefit information from clients’ remote health claim systems
• Maintain department productivity and quality standards
• Follow client specific procedures and guidelines
• Provide excellent customer service Ensure compliance of state and federal laws

Required Skills

• Strong communication and client interfacing skills
• Ability to diffuse escalated calls and remain calm under pressure
• Strong organizational and time management skills
• Ability to work independently and as part of a team
• Working knowledge of Microsoft Word, Excel, internet research skills
• Minimum 50 WPM typing

Required Experience

• Associate degree or equivalent combination of education and/or relevant work experience
• 1 year of work experience in health insurance and/or call center experience

Discovery Health Partners provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

• Strong communication and client interfacing skills
• Ability to diffuse escalated calls and remain calm under pressure
• Strong organizational and time management skills
• Ability to work independently and as part of a team
• Working knowledge of Microsoft Word, Excel, internet research skills
• Minimum 50 WPM typing