Remote Revenue Recovery Analyst: Denials & Appeals

University of Missouri-Columbia; Columbia Township (MO); A distancia; USD 30.000 - 48.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Work from home program

Descripción de la vacante

University Physicians in Columbia, MO seeks a Revenue Recovery Specialist to review denials and lead reconsiderations to maximize revenue. The role requires analyzing payer policies, CPT coding, and medical records, and communicating trends to leadership. Remote work eligibility is available.

Minimum qualifications include a bachelor’s degree and 3+ years in healthcare billing, insurance, or managed care. Strong analytical skills and experience with denial management are preferred.

Formación

• Bachelor’s degree required or equivalent experience in healthcare/finance fields.
• 3+ years in business acumen, insurance or managed care within healthcare revenue cycle.
• Experience with denials analysis, appeals, and reimbursement processes preferred.

Responsabilidades

• Review denials and craft reconsiderations/appeals to payers for revenue recovery.
• Identify and communicate trending denials and reimbursement issues to Leadership and Managed Care for escalation.
• Perform root cause analyses of denials to identify broken internal revenue cycle processes.
• Identify and communicate trending internal billing issues to Leadership to ensure compliant billing with payers.
• Participate in special projects (aging AR analysis, pre-billing tasks) as assigned.

Conocimientos

Business acumen

Insurance industry

Managed care

Hospital reimbursement

Educación

Bachelor’s degree in Accounting, Business Administration, Finance, Health Related Professions, Nursing or equivalent

Descripción del empleo

University Physicians in Columbia, MO seeks a Revenue Recovery Specialist to review denials and lead reconsiderations to maximize revenue. The role requires analyzing payer policies, CPT coding, and medical records, and communicating trends to leadership. Remote work eligibility is available.

Minimum qualifications include a bachelor’s degree and 3+ years in healthcare billing, insurance, or managed care. Strong analytical skills and experience with denial management are preferred.