Remote Revenue Recovery Specialist II

Knowtion Health; United States; À distance; USD 60 000 - 90 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short term disability

Long term disability

Bonus opportunities

Paid holidays

401k

Generous PTO

Résumé du poste

Knowtion Health is hiring a Specialist II, Revenue Recovery for a remote role. The position focuses on resolving denied claims and recovering revenue through ethical collection practices. You will interact with payors, manage documentation, and ensure regulatory compliance to optimize reimbursements.

Ideal candidates bring 3+ years in revenue cycle roles, healthcare billing or follow-up experience, and strong knowledge of ICD/CPT/HCPCS coding. A remote work setup is required.

Qualifications

• Minimum 3 years’ experience in hospital, payer, or revenue cycle roles.
• Healthcare billing and follow-up experience for hospitals, coding, and claim adjudication preferred.
• Medical terminology and coding expertise (ICD, CPT, HCPCS, modifiers, revenue codes).
• Advanced critical thinking to define problems, gather data, and draw conclusions.

Responsabilités

• Analyze denied claims to determine reasons and prepare/submit appeals with documentation.
• Communicate with payors to follow up on unpaid/underpaid claims and recover revenue.
• Maintain up-to-date records of all claim activities in relevant systems.
• Ensure compliance with claims processing regulations and guidelines.
• Identify trends and opportunities for process improvement and report to management.
• Interpret regulations for Commercial Insurance, CMS, MVA, and Workers’ Compensation.

Connaissances

Healthcare terminology

Medical coding

Critical thinking

Outils

Artiva

Description du poste

Knowtion Health is hiring a Specialist II, Revenue Recovery for a remote role. The position focuses on resolving denied claims and recovering revenue through ethical collection practices. You will interact with payors, manage documentation, and ensure regulatory compliance to optimize reimbursements.

Ideal candidates bring 3+ years in revenue cycle roles, healthcare billing or follow-up experience, and strong knowledge of ICD/CPT/HCPCS coding. A remote work setup is required.