Revenue Recovery Specialist, Low Balance PB

RSource; West Virginia; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Revenue Recovery Specialist to join their dynamic remote team. This role involves effectively generating revenue through professional billing practices while ensuring adherence to HIPAA regulations. The ideal candidate will demonstrate strong organizational skills, proficiency in using web-based client and payer portals, and the ability to analyze claims to identify root causes of denials. With a competitive compensation package and a supportive work culture, this opportunity is perfect for those looking to make a meaningful impact in the healthcare billing sector. Join a passionate team dedicated to resolving outstanding hospital bills ethically and professionally.

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 level of professionalism and adherence to debt collection rules.
• Moderate computer proficiency and organization skills required.

Responsibilities

• Follow up on patient bills using the Artiva system.
• Analyze denied claims to identify root causes.
• Ensure timely filing guidelines for maximum reimbursement.

Skills

Professional billing practices

Multi-tasking

Communication skills

Organization skills

Mathematical ability

Adherence to HIPAA

Tools

Artiva workflow management system

MS Excel

MS Word

MS Outlook

Job description

Revenue Recovery Specialist, Low Balance PB

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

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 Specialist must be able to multi-task, prioritize as necessary to timely resolve accounts for payment, and maintain a high level of professionalism when communicating with payers and patients daily. In addition to drafting appeals, Specialists must demonstrate proficient use of web-based client and payer portals along with notation databases. This position is remote.

What’s Attractive to the Right Candidate?

• Knowtion Health is a growing firm in a growing industry. Our status as a leader in this industry means that we have the resources to invest in the business and to innovate.
• Our business is intensely competitive and is constantly evolving. We quickly identify new challenges and develop solutions, so you won’t simply be doing what was done last year. Our new employees are frequently pleased and surprised by how quickly we make decisions and adapt to market conditions.
• Knowtion Health culture is inviting and competitive, embracing challenge and celebrating accomplishment; dedicated colleagues striving to provide quality results that have lasting impact.

The Opportunity:

• Using the Artiva workflow management system, follow up on patient bills and claims to recover revenue from the responsible business entity.
• Analyze information to identify root cause of denied or unpaid claims 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.

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 $16.50/hour.

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