Full-Time
3 Commercial Place
Professional
Days
25.8600 Through 38.8100
GENERAL SUMMARY
The Revenue Recovery Specialist provides analytical and operational support of the revenue recovery process. This position works to identify, collect and/or refund payment variances to and from appropriate payers. The Revenue Recovery Specialist is responsible for maintaining the integrity of the contract management system by resolving daily error reports, providing updates to the vendor as well as validating the accuracy of all changes. Reports to department leadership.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Analyzes trends through detailed account reviews and presents recommendations to management regarding areas requiring process improvement or training.
Works collaboratively with payers on identified payment discrepancies. Initiates appeals and appropriate correspondences on validated variances.
Maintains an excellent rapport with internal constituents on revenue recovery processes.
Keeps abreast of and communicates to leadership proposed regulation which may impact reimbursement process.
Performs other duties as assigned.
LICENSES AND/OR CERTIFICATIONS
None required.
MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS
Bachelor's degree in accounting, finance or closely related discipline or equivalent experience required.
Three years of hospital billing experience preferred.
Knowledge of hospital coding necessary.
Must possess strong critical thinking, analytical, interpersonal, communication and organizational skills necessary to summarize and interpret revenue recovery data from a variety of sources.
Knowledge of payer reimbursement mechanisms desired.
Ability to communicate complex technical information effectively in a very dynamic working environment.
Must be proficient in Microsoft Excel and Word.
WORKING CONDITIONS
Normal office environment with little exposure to excessive noise, dust, temperature and the like.
PHYSICAL REQUIREMENTS
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