Revenue Recovery Specialist, Clinical Denials

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🏈 Alabama, Arizona, +17 more states – Remote

🏈 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

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Knowtion Health

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Use the Artiva workflow management system to follow up on patient bills and claims • Recover revenue from responsible business entities through professional billing practices and ethical collection efforts • Analyze information to identify the root cause of denied or unpaid claims and determine next steps • Pursue and obtain information needed to overturn claim denials, including patient and responsible party information, medical necessity, employer information, and accident information • Ensure appropriate timely filing guidelines are met for maximum reimbursement • Escalate complex, complicated, or challenging accounts to management • Identify and discuss root cause issues with management • Communicate with payers and patients daily • Draft appeals • Use web-based client and payer portals and notation databases

🎯 Requirements

• High level of professionalism • Adherence to all debt collection rules and regulations • Adherence to HIPAA requirements • Moderate computer proficiency • Working knowledge of MS Excel, Word, and Outlook • Organization and documentation skills for timely follow-up and accurate record keeping • Mathematical ability to calculate rates using addition, subtraction, multiplication, and division • Familiarity with CPT and ICD coding preferred • Ability to multitask and prioritize work • Ability to maintain professionalism when communicating with payers and patients • Valid government-issued photo ID required during screening and/or interviews • Applicants located in the following states are prioritized: AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, VA, WI, WV

🏖️ Benefits

• 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 • Dedicated, distraction-free work space at home