To enhance revenue recovery efforts, the fully remote Revenue Recovery Specialist will investigate accounts, resolve outstanding balances through appeals, and identify insurance underpayments while managing a high volume of cases daily.
Key responsibilities:
Identify and resolve 25-30 accounts daily that have been improperly denied or underpaid by insurance carriers
Monitor denial and appeals trends, providing management with reports and recommendations for process improvements
Verify insurance payments for accuracy and compliance, and establish relationships with third-party payor representatives to resolve claims issues
Required qualifications:
High School diploma or equivalent required
3 to 5 years of experience in Hospital Billing, Insurance follow-up, or Denial resolution, with at least 3 years in a hospital patient accounts department
Intermediate knowledge of hospital billing, revenue cycle processes, and medical terminology
Proficiency with Microsoft Office Suite and other computer applications
Ability to navigate healthcare information systems to identify root causes of denials and variances