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Revenue Recovery Specialist – Clinical Denials
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
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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