Revenue Recovery Specialist, Workers Compensation

Knowtion Health; United States; Remoto; USD 52.000 - 68.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical

Dental

Vision

Life Insurance

Short Term Disability

Long Term Disability

Bonus opportunities

Paid holidays

401k

Generous PTO

Descrizione del lavoro

Knowtion Health is seeking a Revenue Recovery Specialist focused on Workers’ Compensation to evaluate referred accounts, identify the correct payer, and ensure timely submission of bills and records. The role involves reviewing EOBs, submitting appeals for underpayments, managing multiple client accounts, and maintaining professional communication with patients, employers, and payers.

This is a remote position with a dedicated home office.

Competenze

• High school diploma or GED.
• 1–3 years of Workers’ Compensation billing experience.
• Experience reviewing EOBs and appealing underpayments.
• Ability to manage multiple accounts and communicate with payers clearly.

Mansioni

• Evaluate referred accounts to confirm WC guidelines applicability.
• Identify the responsible payer and ensure timely submission of bills and records.
• Submit appeals for underpayments to collect correct payment.
• Maintain documentation and professional communication with patients, employers, and payers.
• Monitor payment status and resolve delays in the revenue cycle.

Conoscenze

WC billing experience

Formazione

High school diploma or GED

Descrizione del lavoro

Career Opportunities with Knowtion Health

A great place to work.

Knowtion Health participates in E-Verify

Revenue Recovery Specialist, Workers Compensation

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

This Workers Comp Revenue Recovery Specialist is responsible for evaluating referred accounts to confirm they fall under the WC guidelines for the various states handled. A Workers Comp Recovery Specialist will review account information to identify the responsible payer, assure the bill and records are received by the payer within the allowed timelines, and confirm the payment is correct. For unpaid or underpaid bills, the Representative will submit appeals to collect correct payment.

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 from multiple clients with a variety of accounts with complex issues, such as:
  • New and priority accounts
  • Aged and high dollar accounts to be worked as necessary to ensure efficient revenue cycle recovery
  • Accounts that require substantive review by the coding and utilization departments
• Prepare and submit appeals with required documentation in a timely manner
• Identify and resolve any outstanding issues causing delay or non-payment of bills
• Use professional notation that is clear, concise and comprehensive throughout the complex account resolution process
• Maintain professional relationships and communication with patients, employers, and payer representatives
• Learn and implement client specific protocols and procedures
• Demonstrate proficiency with web portals, client systems, and databases as necessary to document and resolve accounts
• Identify recent payer resolution trends and relay them to peers

What you bring:

• High school diploma or GED
• 1 to 3 years of experience handling Workers’ Compensation bills
• Proven results in collecting on hospital claims from insurance companies
• Experience reviewing EOBs and appealing underpayments

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.

• medical
• dental
• vision
• life insurance
• short term disability
• long term disability
• bonus opportunities
• paid holidays
• 401k
• 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.