Revenue Recovery Specialist II

Job not on LinkedIn

🔥 1 minute 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

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Analyze denied claims to determine underlying reasons for denial • Conduct necessary follow-up actions, including preparing and submitting appeals with comprehensive documentation and justification • Communicate with payors regarding unpaid or underpaid claims • Resolve account denials and ensure timely, accurate recovery of outstanding claims • Maintain accurate records of claim activities, appeals, follow-ups, and resolutions in Artiva and client systems • Ensure compliance with regulations and guidelines governing claims processing and revenue recovery • Meet timely filing guidelines to maximize reimbursement • Identify recurring trends, issues, and process improvement opportunities • Communicate insights and actionable recommendations to management • Generate revenue through professional billing practices and proper, ethical collection efforts • Resolve outstanding hospital bills on behalf of patients without collecting money directly from patients

🎯 Requirements

• Minimum of 3 years’ experience working for a hospital, a payer, or other relevant revenue cycle area • Preferred experience in healthcare insurance billing and/or hospital follow-up • Preferred experience in medical coding, claim adjudication, patient accounting, payer adjusting, and filing and/or settlement of motor vehicle or workers’ compensation accident claims • Expertise in medical terminology and coding, including ICD, CPT, HCPCS, modifiers, procedures, bill types, diagnosis, and revenue codes • Advanced critical thinking skills • Ability to define problems, collect data, establish facts, and draw valid conclusions • Ability to interpret regulations for Commercial Insurance, CMS, MVA, and Workers’ Compensation • Valid government-issued photo ID required during screening and/or interviews • Applicants prioritized from AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, VA, WI, and 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 workspace at home