Revenue Recovery Specialist, Workers Compensation

This is a fully remote position, open to applicants in Alabama, +18 more states.

📋 Description

• Assess referred accounts to ensure compliance with Workers’ Compensation regulations for the various states managed.

• Analyze account details to determine the accountable payer.

• Guarantee that bills and documentation are submitted to the payer within the designated timeframes.

• Verify the accuracy of payments received.

• Initiate appeals for any unpaid or underpaid invoices to secure the correct payment.

• Oversee an inventory of accounts from several clients, including new, priority, aged, and high-value accounts.

• Facilitate comprehensive account evaluations by coding and utilization teams.

• Prepare and dispatch appeals with the necessary documentation promptly.

• Identify and address issues leading to delays or non-payment of invoices.

• Maintain clear, concise, and thorough professional notes throughout the account resolution process.

• Cultivate professional relationships and maintain communication with patients, employers, and payer representatives.

• Acquire and apply client-specific protocols and procedures.

• Record and resolve accounts utilizing web portals, client systems, and databases.

• Recognize payer resolution trends and communicate them to colleagues.

⛳️ Requirements

• High school diploma or GED.

• 1 to 3 years of experience in managing Workers’ Compensation bills.

• Demonstrated success in collecting hospital claims from insurance companies.

• Experience in reviewing Explanation of Benefits (EOBs) and appealing underpayments.

• A valid government-issued photo ID is required during screening and/or interviews.

• A dedicated, distraction-free workspace at home.

• Proficiency in using web portals, client systems, and databases.

• Ability to learn and implement client-specific protocols and procedures effectively.

• Capability 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 paid time off (PTO) policy.

• Remote work flexibility.

• A dedicated, distraction-free workspace at home.