Revenue Recovery Specialist

Job not on LinkedIn

🔥 5 minutes ago

🏈 Alabama, Arizona, +17 more states – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Logo of Knowtion Health

Knowtion Health

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

• Manage an inventory from multiple clients with complex denials • Work new and priority accounts within 48 business hours • Work aged and high-dollar accounts to ensure efficient revenue cycle recovery • Review accounts requiring substantive review by coding and utilization departments • Identify and resolve denials to obtain timely payment for clients • Prepare and submit appeals with required documentation • Maintain clear, concise, and comprehensive notation throughout claim resolution • Maintain professional relationships and communication with patients and payer representatives • Learn and implement client-specific protocols and procedures • Use web portals, client systems, and databases to document and resolve accounts • Identify recent payer resolution trends and relay them to peers • Communicate questions and concerns proactively to the supervisor

🎯 Requirements

• High school diploma or GED • Claims experience is helpful, preferred • 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 • Proficient use of web-based client and payer portals • Proficient use of notation databases • Dedicated, distraction-free work space at home • Valid government-issued photo ID required during screening and/or interviews • Must be located in one of the priority states: Alabama, Arkansas, Arizona, Florida, Georgia, Idaho, Indiana, Kansas, Maine, Michigan, Missouri, Mississippi, North Carolina, New Mexico, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Wisconsin, or West Virginia

🏖️ 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 arrangement

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