Revenue Recovery Associate

Category: Medical

Location:

PositionSummary:

Revenue RecoveryAssociates are responsible for keeping AR within acceptable limits byaggressively following up on all outstanding claims including resolvingdenials, appealing claims for additional payment, ensuring patient/clientbilling information in the provided software is accurate. Accuracy is critical,as this is our business’ fundamental process.

Essential Dutiesand Responsibilities:

To perform thisjob successfully, an individual must be able to perform the followingsatisfactorily; other duties may be assigned. Reasonable accommodation may bemade to enable individuals with disabilities to perform the essentialfunctions.

·Provide effectivecommunication amongst all team members

regarding claim creation errors and/or trends regardingreasons for

denials or outstanding claims.

·Ensure accuratesubmission of client claims

·Distribute billingreports weekly to all clients

·Review dailycollections and monthly reporting, as well as

recommendations for billing audits

·Monitor and follow upon progress of submitted claims and paperwork

·Identify lost revenuethrough AR cleanup/follow up

·Verify accuracy ofdata, compile data and translate information into

multiple formats

·Identify andrecommend potential revenue challenges to maximize

reimbursements within the terms of thefacility agreements

·Other job duties asassigned

Requirements

• High School Diploma
  
• 2-3 years of medical billing or insurance experiencerequired
  
• Understanding of office applications, including MSOffice (Word, Excel, Outlook)
  
• Home Health RCM Experience needed
  
• Minimum of 1-2 years of home health or hospicebilling experience (preferred)
  
• Knowledge of Medicare, Medicaid, commercial insurance and Medicare Advantage billing
  
• Ability to verify patient insurance eligibility and benefits
  
• Knowledge of Medicare NOA/NOE and final claim processes
  
• Understanding and Knowledge of Authorizations
  
• Experience with EVV (preferred)
  

Benefits

This is a contract position and is not eligible forcompany-sponsored employee benefits. Compensation will be based on the agreedhourly rate and approved hours worked.

Details

Originally posted on Himalayas