Revenue Recovery Associate Analyst I

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Optimize insurance reimbursements by pinpointing discrepancies between actual payments and expected reimbursements.

• Examine contractual reimbursements and relay payment inconsistencies to both internal and external teams.

• Detect trends in underpayments and develop effective strategies to address these issues, enhancing the revenue cycle.

• Analyze and interpret contract reimbursements, providing insights to leadership.

• Review remittance data to uncover billing opportunities for revenue enhancement.

• Engage with payors regarding unresolved underpayments.

• Submit appeals for underpayments and rectify account discrepancies.

• Determine root causes of underpayments, denials, and payment delays.

• Collaborate with client teams to document and tackle accounts receivable challenges.

• Apply relevant state and federal insurance regulations along with payor-specific guidelines.

• Record activities in client host systems, Ensemble IQ, or other tracking platforms.

• Suggest enhancements and communicate observed trends and issues to management.

• Achieve productivity and quality benchmarks.

• Gather and analyze data, then report findings to leadership.

• Work in collaboration with Managed Care, Billing, Coding, Revenue Integrity, and Payor Strategy departments.

• Handle multiple projects, reports, and tasks in a dynamic, KPI-focused environment.

⛳️ Requirements

• At least five (5) years of experience in the hospital or physician insurance sector, or within the revenue cycle.

• Strong and proven comprehension of the revenue cycle and the identification of underpaid accounts.

• High school diploma or GED is mandatory.

• Bachelor’s degree is preferred but not essential.

• Outstanding verbal and written communication skills.

• Professional demeanor.

• Exceptional customer service skills.

• Capability to adapt to various client host systems.

• Integrity and honesty are essential.

• Internal motivation to achieve success.

• Proficient in Microsoft Office suite.

• Proven advanced use of AI and experience managing teams utilizing AI for process and technological enhancements.

• Must be a resident and authorized to work in the United States.

• Must be willing to travel and work onsite at client, temporary, or corporate office locations as business needs dictate.

🏝️ Benefits

• Bonus incentives.

• Paid certifications.

• Tuition reimbursement.

• Comprehensive benefits package including healthcare, time off, retirement, and well-being programs.

• Opportunities for professional development.

• Quarterly and annual incentive programs.

• Flexibility for remote work.