Revenue Recovery Specialist, Workers Compensation

RSource; United States; Remote; USD 45,000 - 60,000; Full time

Job summary

A leading company in the healthcare industry is seeking a Workers Comp Revenue Recovery Specialist to manage complex accounts and ensure efficient revenue cycle recovery. This remote position involves reviewing claims, submitting appeals, and maintaining professional relationships with stakeholders. Ideal candidates will have a high school diploma and at least one year of relevant experience, particularly in workers' compensation processes.

Benefits

Medical insurance

Dental insurance

Vision insurance

401k

Generous PTO policy

Qualifications

• 1 year experience and knowledge of Workers’ Comp processes.
• Experience with workers compensation fee schedules is preferred.

Responsibilities

• Manage an inventory from multiple clients with complex issues.
• Prepare and submit appeals with required documentation.
• Identify and resolve outstanding issues causing delays.

Skills

Communication

Attention to detail

Education

High school diploma or GED

Tools

Microsoft Word

Microsoft Excel

Job description

Career Opportunities with Knowtion Health

A great place to work.

Knowtion Health participates in E-Verify

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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 to be worked within 48 business hours
• 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 year experience and knowledge of Workers’ Comp processes
• Experience working with workers compensation fee schedules is preferred
• Experience with Microsoft Word and Excel preferred
• Effective written and verbal communication skills

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: AR, FL, GA, KY, NC, OH, OK, SC, TN, TX, VA, AL, AZ, IL, IN, KS, MD, MA, MN, PA, WV