Overview
A healthcare revenue cycle management organization is seeking a Senior Revenue Recovery Specialist to join their team. This role involves researching and analyzing accounts to identify and recover underpayments, working closely with client teams and contract management counterparts.
Responsibilities
- Communicate directly with payors to follow up on outstanding underpayments, file appeals, resolve account variances, and ensure timely recovery.
- Identify root causes of underpayments, denials, and delayed payments; collaborate with client teams to document and address these issues.
- Maintain thorough knowledge of applicable state and federal insurance regulations and payor-specific requirements.
- Accurately document all activities in client systems or appropriate tracking tools.
- Proactively recommend improvements and communicate trends and issues to management.
- Independently solve problems related to underpayments using critical thinking.
- Meet established productivity and quality standards.
- Identify underpayments through both automated and manual methods.
- Multitask effectively within the client team.
Requirements
- 3 to 5 years of experience in hospital or physician insurance industry or other revenue cycle roles.
- High school diploma or GED.
- Strong verbal and written communication skills.
- Professional presence and exceptional customer service skills.
- Ability to adapt to multiple client host systems.
- Integrity, honesty, and internal drive to succeed.
- Proficiency with Microsoft Office suite.
- Openness to innovation, including AI, to improve processes and client experiences.
- Ability to work remotely with willingness to travel to client, temporary, or corporate office locations as needed.
Compensation & Benefits
- Hourly pay range: $22.45 - $24.70 based on experience.
- Bonus incentives.
- Paid certifications.
- Tuition reimbursement.
- Comprehensive benefits package supporting physical, emotional, and financial health.
- Career advancement opportunities.
Location
This is a remote position with occasional travel requirements to client or corporate sites.