Revenue Recovery Specialist

Vaga não está no LinkedIn

🕒 Junho 25

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

🏈 Alabama – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌪️ Kansas – Remote 🦞 Maine – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

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Knowtion Health

SiteLinkedInTodas as Vagas

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 a variety of accounts with complex denials • New and priority accounts to be worked within 48 business hours • Aged and high dollar accounts to be worked as necessary to ensure efficient revenue cycle recovery • Accounts that require substantive review by the coding and utilization departments • Identify and resolve denials to obtain timely payment for clients • Prepare and submit appeals with required documentation in a timely manner • Use professional notation that is clear, concise and comprehensive throughout the complex claim resolution process • Maintain professional relationships and communication with patients and payer representatives • Learn and implement client specific protocols and procedures • Demonstrate proficiency with web portals, client systems, and databases as necessary to document and resolve accounts • Identify recent payer resolution trends and relay them to peers • Communicate questions and concerns proactively to supervisor for resolution

🎯 Requisitos

• High school diploma or GED • Claims experience is helpful, but not required • 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

🏖️ Benefícios

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