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Knowtion Health

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Revenue Recovery Specialist – Clinical Denials

GeneralGeneralFull TimeRemoteJuniorTeam 501-1,000Since 2008H1B SponsorCompany SiteLinkedIn

Location

Alabama + 18 moreAll locations: Alabama | Arizona | Florida | Idaho | Kansas | Maine | New Mexico | North Carolina | Oklahoma | Michigan | Mississippi | Missouri | Pennsylvania | South Carolina | Tennessee | Texas | Virginia | West Virginia | Wisconsin

Posted

8 hours ago

Salary

0

Seniority

Junior

1 yr expEnglish

Job Description

Revenue Recovery Specialist – Clinical Denials

Knowtion Health

• Using the Artiva workflow management system, follow up on patient bills and claims to recover revenue from the responsible business entity. • Depending on the department, the business entities may include any or all the following: commercial health insurance, governmental insurance, and third party administrators • Analyze information to identify root cause of denied or unpaid claim and determine next steps • Pursue & obtain information needed to overturn claim denials, including patient & responsible party information, medical necessity, employer information, accident information • Ensure appropriate timely filing guidelines are met for maximum reimbursement • Escalate complex, complicated, or challenging accounts to management to ensure accounts are progressing effectively • Identify and discuss root cause issues with management • Draft and submit appeals with supporting documentation to overturn claim denials • Consequence to errors in judgment are critical (HIPAA violation penalties, lost revenue for hospital client, other penalties, or fines)

Job Requirements

  • Minimum 1 year of experience drafting and submitting appeals with supporting documentation to overturn claims denials required.
  • A high level of professionalism
  • Adherence to all debt collection rules and regulations
  • Adherence to HIPAA requirements
  • Moderate computer proficiency including working knowledge of MS Excel, Word, and Outlook
  • Organization and documentation skills to ensure timely follow-up and accurate record keeping
  • Mathematical ability to calculate rates using addition, subtraction, multiplication, and division
  • Familiarity with CPT, ICD coding preferred

Benefits

  • medical
  • dental
  • vision
  • life insurance
  • short term disability
  • long term disability
  • bonus opportunities
  • paid holidays
  • 401k
  • generous PTO policy

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