
501 - 1000 employees
Founded 2008
💼 Consulting
🛡️ Insurance
📦 Logistics
💰 Private Equity Round on 2020-09
Consulting • Insurance • Logistics
Knowtion Health is a company that assists hospitals in handling denied and complex claims, recovering low balance accounts, and providing defense against payer audits. By leveraging advanced technology and a team of experts, Knowtion Health aims to maximize revenue and improve patient experiences. Their services include addressing clinical denials and managing various challenging payer classes, positioning them as a strong advocate for their clients in the healthcare sector.
🕒 August 22
🏈 Alabama, Arizona, +17 more states – Remote
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧐 Analyst
🦅 H1B Visa Sponsor
👻 Ghost score 10%
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501 - 1000 employees
Founded 2008
💼 Consulting
🛡️ Insurance
📦 Logistics
💰 Private Equity Round on 2020-09
Consulting • Insurance • Logistics
Knowtion Health is a company that assists hospitals in handling denied and complex claims, recovering low balance accounts, and providing defense against payer audits. By leveraging advanced technology and a team of experts, Knowtion Health aims to maximize revenue and improve patient experiences. Their services include addressing clinical denials and managing various challenging payer classes, positioning them as a strong advocate for their clients in the healthcare sector.
• Serve as a subject matter expert managing a specific client’s Out of Network inventory • Leverage project management and revenue cycle skills to identify trends and patterns supporting strategic IDR dispute submissions • Submit Open Negotiation letters and IDR Disputes for federal and state processes • Analyze insurance cards and EOBs to determine whether a claim is Self Funded or Fully Funded • Run reports to identify trends and patterns within claims inventory and drive workflow, including bulk account actions • Manage relationships with Out of Network payers to establish claim settlement processes where applicable • Analyze data to identify improvements in billing, claim reimbursement, and follow-up processes • Validate analytics using data from client systems • Review insurance companies’ payment patterns and denials to identify trends and irregularities • Reconcile inventory, including payments, adjustments, and returned accounts • Present IDR findings clearly to clients and internal stakeholders • Collaborate with product management and implementation teams on operational analytic enhancements for clients
• Bachelor's Degree or equivalent experience • 3+ years of experience in hospital revenue cycle analytics preferred or equivalent experience in hospital accounts receivable claims management • Experience reviewing insurance cards, EOBs, and claims data • Knowledge of Revenue Cycle and different Revenue Cycle systems/applications • Must present a valid government-issued photo ID during screening and/or interviews • Must consent to photograph capture during screening or interview for identity verification, security, and record-keeping purposes • Knowtion Health gives priority to applicants located in AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, VA, WI, WV
• Medical insurance • Dental insurance • Vision insurance • Life insurance • Short-term disability insurance • Long-term disability insurance • Paid holidays • 401(k) • Generous PTO policy • Remote work • Dedicated, distraction-free workspace at home
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