Revenue Recovery Specialist, Low Balance

RSource; Minnesota; Remote; USD 60,000 - 80,000; Full time

Job summary

Join a passionate and dynamic team as a Revenue Recovery Specialist, where you will play a vital role in supporting patients and ensuring ethical billing practices. This remote position allows you to work from the comfort of your home while making a significant impact by resolving outstanding hospital bills. You will utilize the Artiva workflow management system to follow up on claims, analyze information to identify root causes of denials, and ensure compliance with debt collection regulations and HIPAA requirements. With a competitive benefits package and opportunities for bonuses, this role offers both personal and professional growth in a supportive environment dedicated to patient advocacy.

Benefits

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short term disability

Long term disability

Bonus opportunities

Paid holidays

401k

Generous PTO policy

Qualifications

• High professionalism and adherence to debt collection and HIPAA rules.
• Moderate computer skills with MS Office and strong documentation abilities.

Responsibilities

• Follow up on patient bills and claims to recover revenue.
• Analyze denied claims and pursue necessary information for resolution.
• Ensure timely filing guidelines are met for maximum reimbursement.

Skills

Professionalism

Debt collection rules adherence

HIPAA compliance

Computer proficiency (MS Excel, Word, Outlook)

Organization and documentation skills

Mathematical ability

CPT, ICD coding familiarity

Tools

Artiva workflow management system

Job description

Revenue Recovery Specialist, Low Balance

Are you seeking an exciting opportunity to join a passionate, growing, and dynamic team of professionals who support patients? Knowtion Health is Hiring!

A Specialist I, Revenue Recovery Low Balance effectively and consistently generates revenue through professional billing practices, using proper and ethical collection efforts. Knowtion Health works as an ambassador on behalf of patients to resolve outstanding hospital bills and never collects monies from patients. This position is remote.

Your Role Will Involve:

• Using the Artiva workflow management system, follow up on patient bills and claims to recover revenue from the responsible business entity. Depending on the department, the business entities may include any or all the following: commercial health insurance, governmental insurance, veteran’s benefits, third party administrators, attorneys, motor vehicle carriers, employers and worker’s compensation carriers.
• Analyze information to identify root cause of denied or unpaid claim and determine next steps.
• Pursue & obtain information needed to overturn claim denials, including patient & responsible party information, medical necessity, employer information, accident information.
• Ensure appropriate timely filing guidelines are met for maximum reimbursement.
• Escalate complex, complicated, or challenging accounts to management to ensure accounts are progressing effectively.
• Identify and discuss root cause issues with management.
• Consequence to errors in judgment are critical (HIPAA violation penalties, lost revenue for hospital client, other penalties, or fines).

What you bring:

• A high level of professionalism.
• Adherence to all debt collection rules and regulations.
• Adherence to HIPAA requirements.
• Moderate computer proficiency including working knowledge of MS Excel, Word, and Outlook.
• Organization and documentation skills to ensure timely follow-up and accurate record keeping.
• Mathematical ability to calculate rates using addition, subtraction, multiplication, and division.
• Familiarity with CPT, ICD coding preferred.

Compensation and Benefits:

This position is remote and requires a dedicated, distraction-free workspace at home. We offer a competitive benefits package including medical, dental, vision, life insurance, short term disability, long term disability, bonus opportunities, paid holidays, 401k, and a generous PTO policy.

The compensation range for this position starts at $17/hour.

Knowtion Health gives priority to applicants located in the following states: AR, AL, AZ, FL, GA, IL, KS, KY, MD, MA, MN, NC, OH, OK, PA, SC, TN, TX, WV, VA.