Revenue Recovery Specialist, Workers Compensation

Job not on LinkedIn

🔥 30 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

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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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

• Evaluate referred accounts to confirm they fall under Workers’ Compensation guidelines for the various states handled • Review account information to identify the responsible payer • Ensure bills and records are received by the payer within allowed timelines • Confirm payments are correct • Submit appeals for unpaid or underpaid bills to collect correct payment • Manage an inventory of accounts from multiple clients, including new, priority, aged, and high-dollar accounts • Coordinate substantive account reviews by coding and utilization departments • Prepare and submit appeals with required documentation in a timely manner • Identify and resolve issues causing delays or non-payment of bills • Maintain clear, concise, and comprehensive professional notation throughout account resolution • Maintain professional relationships and communication with patients, employers, and payer representatives • Learn and implement client-specific protocols and procedures • Document and resolve accounts using web portals, client systems, and databases • Identify payer resolution trends and relay them to peers

🎯 Requirements

• High school diploma or GED • 1 to 3 years of experience handling Workers’ Compensation bills • Proven results in collecting on hospital claims from insurance companies • Experience reviewing EOBs and appealing underpayments • Valid government-issued photo ID required during screening and/or interviews • Dedicated, distraction-free work space at home • Proficiency with web portals, client systems, and databases • Ability to learn and implement client-specific protocols and procedures • Ability to maintain professional relationships and communication with patients, employers, and payer representatives

🏖️ 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