Revenue Recovery Specialist, MVA

Knowtion Health; United States; Teletrabalho; USD 45 000 - 75 000; Tempo integral

Resumo da oferta

Knowtion Health is seeking a Revenue Recovery Specialist to resolve motor vehicle and health insurance claims from hospital providers. This remote role requires a dedicated home workspace and the ability to multi-task and communicate professionally with payers and attorneys.

You will manage an accounts inventory in a team-based environment, perform coverage investigations, prepare appeals, and resolve high-dollar or aged claims while following client protocols.

Qualificações

• High school diploma or GED.
• 1 to 3 years of experience with MVA claims and health claims preferred.
• Proven results in collecting on hospital claims from insurance companies, including reviewing EOBs for payment or denial reasons.
• Experience with Microsoft Word and Excel preferred.
• Experience with EPIC preferred.

Responsabilidades

• Manage an inventory of accounts in a team-based environment for medical payments, third-party liability, and health benefits coverage.
• Identify and resolve accounts with multiple payers (PIP, Health, TPL) involved.
• Prepare and submit appeals with required documentation in a timely manner.
• Use professional notation that is clear, concise and comprehensive throughout the complex account resolution process.
• Maintain professional relationships and communication with payer representatives, patients and attorneys via inbound and outbound calls.
• Learn and implement client specific protocols and procedures.
• Identify recent payer resolution trends and relay them to peers.

Conhecimentos

MVA claims

Health claims

Microsoft Word

Excel

Formação académica

High school diploma or GED

Ferramentas

EPIC

Descrição da oferta de emprego

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

Revenue Recovery Specialist, MVA, is responsible for resolving motor vehicle and health insurance claims from a variety of hospital providers, including facility and physician bills. A specialist must be able to multi-task, prioritize as necessary to timely resolve account for payment, and maintain a high level of professionalism during all correspondence with auto payers, health payers and attorneys daily. In addition, Revenue Recovery Specialists must also demonstrate proficient use of web-based client and payer portals along with notation databases. This position is remote and requires a dedicated, distraction-free workspace at home.

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:

• Manage an inventory of accounts in a team-based environment for medical payments, third-party liability, and health benefits coverage to include:
  • New and priority accounts to be worked within client specified protocols, including coverage investigation.
  • Aged and high dollar accounts to be worked as necessary to ensure efficient recovery.
  • Accounts that require substantive review by the coding and utilization departments.
• Identify and resolve accounts with multiple payers (PIP, Health, TPL) involved.
• Prepare and submit appeals with required documentation in a timely manner.
• Use professional notation that is clear, concise and comprehensive throughout the complex account resolution process.
• Maintain professional relationships and communication with payer representatives, patients and attorneys via inbound and outbound calls.
• Learn and implement client specific protocols and procedures.
• Identify recent payer resolution trends and relay them to peers.

What you bring:

• High school diploma or GED.
• 1 to 3 years of experience with MVA claims and health claims preferred.
• Proven results in collecting on hospital claims from insurance companies, including reviewing EOBs for payment or denial reasons
• Experience with Microsoft Word and Excel preferred.
• Experience with EPIC preferred.

The above statements are intended to provide the general nature and level of work being performed by most people assigned to the position. They are not intended to be an exhaustive list of all responsibilities, duties and requirements.

This position is remote and requires a dedicated, distraction-free work space 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.

Knowtion Health gives priority to applicants located in the following states: AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, VA, WI, WV

Photo Identification and Image Capture Notice

As part of our hiring process, candidates are required to present a valid government-issued photo ID during screening and/or interviews.

We may also capture a photograph during the screening or interview process for identity verification, security, and record-keeping purposes. All identification documents and images will be handled in accordance with applicable privacy laws and accessed only by authorized personnel.

By proceeding with your application, you acknowledge and consent to this process.