Job Summary
A healthcare receivables company has an open position for a Remote Clinical Denials Revenue Recovery Specialist.
Candidates will be responsible for the following:
- Following up on patient bills and claims in order to recover revenue from the responsible business entity
- Analyzing information to identify root cause of denied or unpaid claim and determine next steps
- Pursuing and obtaining information needed to overturn claim denials, including patient and responsible party information, medical necessity, employer information, accident information
Skills and Requirements Include:
- Minimum of 1 years’ experience working for a hospital or payer or in a customer service position
- High School Diploma or GED
- Proven high level of professionalism
- Ability to adhere to all debt collection rules and regulations and to HIPAA requirements
- Demonstrated mathematical with ability to calculate rates using addition, subtraction, multiplication and division
- Ability to ensure appropriate timely filing guidelines are met for maximum reimbursement
