Job Summary
An information technology services and consulting company needs applicants for an opening for a Remote Revenue Recovery Process Specialist.
Core Responsibilities of this position include:
- Tracking and trending claim underpayments
- Identifying patterns and escalating to management
- Making recommendations for additions/revisions/deletions
Qualifications for this position include:
- 3-5 years Work Experience
- Advanced level data analysis
- Knowledge of government and non-government payer payment policies
- Experience in detailed evaluation of payer policies to communicate effective contract underpayment opportunities
- Experience in drafting and tracking reconsiderations and/or appeals related to underpayments
- Experience in identifying procedures impacted by National Correct Coding Initiative Edits
