Revenue Recovery Specialist

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🕒 Setembro 28

🏈 Alabama, Arizona, +17 estados a mais – Remoto

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⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🦅 Patrocina Visto H1B

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👻 Score fantasma 10%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Knowtion Health

Knowtion Health

501 - 1000 funcionários

Fundada em 2008

💼 Consultoria

🛡️ Seguros

📦 Logística

💰 Private Equity Round em 2020-09

Consulting • Insurance • Logistics

A Knowtion Health é uma empresa que auxilia hospitais na gestão de reivindicações negadas e complexas, recuperação de contas de baixo saldo, e defesa contra auditorias de pagadores. Ao utilizar tecnologia avançada e uma equipe de especialistas, a Knowtion Health visa maximizar a receita e melhorar a experiência dos pacientes. Seus serviços incluem o tratamento de negações clínicas e a gestão de várias classes desafiadoras de pagadores, posicionando-se como um forte defensor para seus clientes no setor de saúde.

Descrição

• Manage an inventory from multiple clients with complex denials • Work new and priority accounts within 48 business hours • Work aged and high-dollar accounts to ensure efficient revenue cycle recovery • Review accounts requiring substantive review by coding and utilization departments • Identify and resolve denials to obtain timely payment for clients • Prepare and submit appeals with required documentation • Maintain clear, concise, and comprehensive notation throughout claim resolution • Maintain professional relationships and communication with patients and payer representatives • Learn and implement client-specific protocols and procedures • Use web portals, client systems, and databases to document and resolve accounts • Identify recent payer resolution trends and relay them to peers • Communicate questions and concerns proactively to the supervisor

🎯 Requisitos

• High school diploma or GED • Claims experience is helpful, preferred • Experience with Microsoft Word and Excel preferred • Ability to multi-task, think critically, prioritize, and problem solve • Effective written and verbal communication skills • Self-motivated and self-disciplined • Proficient use of web-based client and payer portals • Proficient use of notation databases • Dedicated, distraction-free work space at home • Valid government-issued photo ID required during screening and/or interviews • Must be located in one of the priority states: Alabama, Arkansas, Arizona, Florida, Georgia, Idaho, Indiana, Kansas, Maine, Michigan, Missouri, Mississippi, North Carolina, New Mexico, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Wisconsin, or West Virginia

🏖️ Benefícios

• Medical insurance • Dental insurance • Vision insurance • Life insurance • Short-term disability • Long-term disability • Bonus opportunities • Paid holidays • 401(k) • Generous PTO policy • Remote work arrangement

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