Revenue Recovery Specialist (remote)

Freddie Mac; United States; Remote; USD 50,000 - 60,000; Full time

Job summary

Freddie Mac is seeking a Revenue Recovery Specialist for a remote position. The ideal candidate will handle critical tasks related to healthcare claim underpayments while communicating with various healthcare payer organizations. This role demands excellent analytical skills and experience in revenue cycle management. Successful candidates will receive a competitive salary and a range of benefits.

Benefits

Medical/Dental/Vision/Life Insurance

Paid holidays and Paid Time Off

401(k) plan and contributions

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Qualifications

• 3-5 years of RCM experience is needed.
• 3-5 years of healthcare collections experience required.
• Proficiency in Excel, particularly Pivot tables.

Responsibilities

• Utilize the ARM tool to manage underpayments.
• Analyze claim lines to resolve underpayments.
• Communicate effectively with payers regarding contract issues.

Skills

Communication

Excel

Analytical Thinking

Healthcare Knowledge

Education

High school diploma or GED

Job description

Revenue Recovery Specialist (remote)

This is a remote position open to any qualified applicant in the United States.

Summary:

In this role, you will work under the general supervision of the Director of Managed Care, Credentialing, and Denial Prevention. You will perform advanced-level tasks related to healthcare payer claim line underpayments. Excellent written and verbal communication skills, proficiency in MS Excel, and familiarity with payer portals are essential.

Job Responsibilities:

• Utilizing the Advanced Reimbursement Analysis (ARM) tool to identify, track, and trend underpayments.
• Possessing a basic understanding of the entire RCM process.
• Maintaining a comprehensive knowledge of HCPCS/ICD/CPT coding and specific carrier requirements.
• Identifying trends and patterns to better resolve accounts and generate bulk payments.
• Recognizing problems or trends and providing suggestions for resolutions.
• Demonstrating strong knowledge of medical terminology, CPT codes, modifiers, and diagnosis codes.
• Analyzing claim lines to identify contractual underpayments or billing errors.
• Resolving underpaid claims from various payer products, including HMO, PPO, Medicaid, Medicare, and Workers' Compensation.
• Articulating contract provisions to representatives from healthcare payer companies and government agencies.
• Contacting payer via phone, portal, or written correspondence to initiate payment requests.
• Performing appropriate follow-up with payers and gaining commitment for payment.
• Escalating lack of response or payment within the payer organization as appropriate.
• Identifying and communicating contract interpretation issues and language discrepancies to leadership.
• Identifying payer trends and communicating them to the supervisor for further action or escalation.
• Serving as a subject matter expert in the payer contract dispute resolution process.

Qualifications:

High school diploma or GED is Required

RCM experience needed 3-5 years

Healthcare Collections experience 3-5 years

Excel knowledge- Pivot tables

Salary and Other Compensation:
Applications will be accepted until June 27, 2025.

The annual salary for this position is between $50,000 - $60,000, depending on experience and other
qualifications of the successful candidate.
This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and
subject to the terms of Cognizant's applicable plans.

Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan

Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting.
Cognizant reserves the right to modify this information at any time, subject to applicable law.

The Cognizant community:
We are a high caliber team who appreciate and support one another. Our people uphold an energetic, collaborative and inclusive workplace where everyone can thrive.

• Cognizant is a global community with more than 300,000 associates around the world.
• We don't just dream of a better way - we make it happen.
• We take care of our people, clients, company, communities and climate by doing what's right.
• We foster an innovative environment where you can build the career path that's right for you.

About us:
Cognizant is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant (a member of the NASDAQ-100 and one of Forbes World's Best Employers 2024) is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com

Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.

Disclaimer:
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.