Revenue Recovery Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct audits of unbilled accounts to verify that services are properly documented, coded, and billed, thereby minimizing preventable DNFB and DNFC durations.

• Identify discrepancies in charges and trends, collaborating with department leaders to implement corrective measures.

• Provide support to Revenue Cycle leadership through detailed revenue integrity reporting and analysis.

• Assist in validating the Chargemaster and ensuring charge compliance with CMS, payer, and regulatory standards.

• Address coding issues flagged by the HB/PB team for resolution.

• Aid in the reduction of DNFB and DNFC durations.

• Deliver actionable revenue integrity reporting and analytics to leadership.

• Facilitate collaboration among the RRT Clinical Department, Clinical Operations, Patient Financial Services, Coding, CDI, and RCM Operational Leadership.

⛳️ Requirements

• A High School Diploma or equivalent is required.

• An Associate's or Bachelor's degree in a relevant field is preferred.

• At least 2+ years of experience in healthcare accounts receivable (AR), hospital billing, or revenue cycle resolution.

• A robust foundational understanding of the healthcare revenue cycle, encompassing claims submission, remittance processing, and follow-up.

• Proven analytical and critical thinking abilities, with a keen attention to detail.

• Exceptional written and verbal communication skills.

• Proficient in computer technology, with the ability to quickly learn new software platforms.

• Previous experience in denial analysis or underpayment identification.

• Familiarity with interpreting payer contracts and fee schedules.

• Experience navigating various payer portals and systems.

• A reliable high-speed internet connection is essential.

• Access to stable Wi-Fi with adequate bandwidth is required.

• A HIPAA-compliant secure workspace is necessary.

• Must comply with relevant HIPAA privacy and security regulations.

🏝️ Benefits

• 100% remote work arrangement.

• Reliable high-speed internet connection to be provided by the employee for remote/hybrid work.

• Stable Wi-Fi with sufficient bandwidth for video conferencing, cloud-based tools, and other online work-related tasks.

• HIPAA-compliant work environment, which includes a secure workspace.

• Public Wi-Fi is prohibited unless connected through a secure company-provided VPN.