Revenue Recovery Associate

Jobtailor; Deutschland; Vor Ort; EUR 40.000 - 60.000; Vollzeit

Zusammenfassung

Jobtailor is seeking a Revenue Recovery Associate in Germany to manage accounts receivable and maximize reimbursements across Medicare, Medicaid and commercial plans. You will aggressively follow up on outstanding claims, resolve denials, and ensure accurate claim submissions.

The role requires 2–3 years of medical billing experience and familiarity with Home Health RCM and EVV; strong MS Office skills and data verification are essential.

Qualifikationen

• High School Diploma.
• 2–3 years of medical billing or insurance experience required.
• Understanding of MS Office (Word, Excel, Outlook) required.
• Home Health RCM experience needed.
• 1–2 years of home health or hospice billing 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.

Aufgaben

• Keep AR within acceptable limits by following up on outstanding claims.
• Resolve denials and appeal for additional payment.
• Ensure accurate submission of client claims.
• Distribute billing reports weekly to clients.
• Review daily collections and monthly reporting.
• Monitor progress of submitted claims and paperwork.
• Identify lost revenue through AR cleanup and data verification.
• Recommend revisions to maximize reimbursements per facility agreements.
• Other duties as assigned.

Kenntnisse

Medical billing

Data verification

Revenue recovery

Insurance claims

AR follow-up

Ausbildung

High School Diploma

Tools

MS Office

EVV

Jobbeschreibung

Responsibilities

• Revenue Recovery Associates are responsible for keeping AR within acceptable limits by aggressively following up on all outstanding claims including resolving denials, appealing claims for additional payment, ensuring patient/client billing information in the provided software is accurate.
• Provide effective communication amongst all team members regarding claim creation errors and/or trends regarding reasons for denials or outstanding claims.
• Ensure accurate submission of client claims.
• Distribute billing reports weekly to all clients.
• Review daily collections and monthly reporting, as well as recommendations for billing audits.
• Monitor and follow up on progress of submitted claims and paperwork.
• Identify lost revenue through AR cleanup/follow up.Verify accuracy of data, compile data and translate information into multiple formats.
• Identify and recommend potential revenue challenges to maximize reimbursements within the terms of the facility agreements.
• Other job duties as assigned.

Requirements

• High School Diploma
• 2-3 years of medical billing or insurance experience required
• Understanding of office applications, including MS Office (Word, Excel, Outlook)
• Home Health RCM Experience needed
• Minimum of 1-2 years of home health or hospice billing 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)

Core Competencies

Demonstrates expertise in medical billing processes, including knowledge of Medicare, Medicaid, and commercial insurance billing. Proficient in data verification and analysis to maximize revenue recovery and ensure accurate claim submissions.