Revenue Recovery Specialist
Revenue Recovery Specialist
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
$ 19 - 25
1 Vacancy
Job Description
Location:
Worker Type:
RegularWork Shift:
Day Shift (United States of America)Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$19.25 $25.00Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief Overview
Responsible for researching analyzing and validating accounts to resolve denials inappropriate payment and non payment of claims. The Specialist will identify review and interpret third party payments adjustments denials and facilitate appeals. Responsible for taking the appropriate action needed to correct the account complete the correction or omission and maintain documented action to followup on the collection and optimization of accurate reimbursement for all appropriate payers.
What you will do
- Responsible for account review and follow up on unpaid claims for resolution.
- Research for appropriate information and process claims with corrected claim information or appeal.
- Reconciles patient accounts to ensure the payment balance or refund is correct.
- Collaborate with internal departments to ensure claim accuracy for timely processing.
- Monitor and review payer correspondence for claim processing updates claim audits and denials and refund requests.
- Serves as a resource to various departments within the Central Business Office to answer questions with regard to network discounts reimbursement provider networks and government payers.
- Monitors & reports trending of third party reimbursement issues to next level leader for revenue cycle optimization.
Essential Qualifications
The individual must be able to work the hours specified. To perform this job successfully an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others hear understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge skills and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions as long as the accommodations do not cause undue hardship to the employer.
Preferred Education License/Certification or Work Experience:
- 13 years Related experience
Expectations and Standards
- Commitment to the daily application of Averas mission vision core values and social principles to serve patients their families and our community.
- Promote Averas values of compassion hospitality and stewardship.
- Uphold Averas standards of Communication Attitude Responsiveness and Engagement (CARE) with enthusiasm and sincerity.
- Maintain confidentiality.
- Work effectively in a team environment coordinating work flow with other team members and ensuring a productive and efficient environment.
- Comply with safety principles laws regulations and standards associated with but not limited to CMS The Joint Commission DHHS and OSHA if applicable.
Benefits You Need & Then Some
Avera is proud to offer a wide range of benefits to qualifying parttime and fulltime employees. We support you with opportunities to help live balanced healthy lives. Benefits are designed to meet needs of today and into the future.
PTO available day 1 for eligible hires.
Free health insurance options for fulltime single coverage on Avera High Deductible Health Plan
Up to 5 employer matching contribution for retirement
Career development guided by handson training and mentorship
Avera is an Equal Opportunity Employer Qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability Veteran Status or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application please callor send an email to .
Required Experience:
Unclear Seniority
Employment Type
Full-Time
