Revenue Recovery Specialist

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Knowtion Health

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 from multiple clients with a variety of accounts with complex denials • New and priority accounts to be worked within 48 business hours • Aged and high dollar accounts to be worked as necessary to ensure efficient revenue cycle recovery • Accounts that require substantive review by the coding and utilization departments • Identify and resolve denials to obtain timely payment for clients • Prepare and submit appeals with required documentation in a timely manner • Use professional notation that is clear, concise and comprehensive throughout the complex claim resolution process • Maintain professional relationships and communication with patients and payer representatives • Learn and implement client specific protocols and procedures • Demonstrate proficiency with web portals, client systems, and databases as necessary to document and resolve accounts • Identify recent payer resolution trends and relay them to peers • Communicate questions and concerns proactively to supervisor for resolution

🎯 Requirements

• High school diploma or GED • Claims experience is helpful, but not required • 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

🏖️ Benefits

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

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