Revenue Recovery Specialist, Complex Claims

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🔥 0 minutes ago

🏈 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

🟢 Junior

📋 Claims Specialist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Knowtion Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2008

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

💰 Private Equity Round on 2020-09

Healthcare Insurance • Fintech • SaaS

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

• Manage an inventory of accounts in a team-based environment for medical payments, third-party liability, and health benefits coverage • New and priority accounts to be worked within client specified protocols, including coverage investigation • Aged and high dollar accounts to be worked as necessary to ensure efficient recovery • Accounts that require substantive review by the coding and utilization departments • Accounts that require lien submissions • Identify and resolve accounts with multiple payers (PIP, Health, TPL) involved • Prepare and submit appeals with required documentation in a timely manner • Use professional notation that is clear, concise and comprehensive throughout the complex account resolution process

🎯 Requirements

• High school diploma or GED • 1 to 3 years of experience with MVA and Medicare claims; or 1 to 3 years of experience handling Workers Compensation bills • Proven experience in hospital revenue cycle or insurance claim processing • Proven results in collecting on hospital claims • Experience with EPIC preferred • Experience with Microsoft Word and Excel preferred

🏖️ Benefits

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