Revenue Recovery Specialist
Company: Crisis Preparation & Recovery
Location: Tempe
Posted on: May 15, 2022
Job Description:
A Revenue Recovery Specialist is responsible for reviewing and
analyzing claim denials, working with payers to resolve denials,
tracking all denials by payer and denial category, trending
recurring denials, and recommending process improvement or system
edits to eliminate future denials. Knowledge and Skills:
- Requires knowledge of healthcare billing practices including
HCPCS and ICD-10
- Knowledge of insurance guidelines, including HMO, PPO, Medicare
and state Medicaid
- Experience reading electronic claim files
- High-level attention to detail and accuracy
- Clear and concise communication
- Excellent problem solving, organizational and time management
skills
- Must be able to work in a fast paced, ever-changing work
environment
- Acts ethically and honestly and applies those behaviors to
daily work activitiesDuties:
- Review all claims in accounts receivable and take necessary
action to resolve issues
- Investigate payor matters for any discrepancy in payments, as
necessary
- Review rejections and denials and make claims corrections in
order to resubmit claims
- Respond to all patient or insurance telephone inquiries to
ensure timely reimbursement
- Advise supervisor of any changes in claims processing, denials,
or payments
- Utilize resources to verify status of claims
- Validate insurance payment for accuracy and compliance based on
contractual terms
- Collect and apply primary and secondary insurance payments for
patient accounts
- Send out monthly client statements
- Update demographic and financial information in billing system,
as needed
- Document account activity in a clear and accurate manner
- Adhere to HIPAA privacy and confidentiality regulations and
guidelines
- Other duties and tasks may be assigned as appropriate or
necessaryEducation Requirements:
- High School diploma plus 3 years billing experience #IND
PI177518694
Keywords: Crisis Preparation & Recovery, Tempe , Revenue Recovery Specialist, Other , Tempe, Arizona
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