Denial Management Specialist Revo Health

This is a full-time position working M-F during our core business hours 8:00 am - 4:30 pm central time out of our Bloomington location open to remote candidates.

Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

Essential Functions:

• Ensure professional communication with patients clinic personnel and outside vendors over the phone via email or other written documentation and respond to all inquiries
• Maintain a working knowledge of health care plan requirements and health plan networks
• Verify and document insurance information as defined by current business practices
• Accurately post all payments received from patients attorney offices and/or insurance companies
• Review Explanation of Benefits (EOB) research denials rejections and/or excessive reductions
• Ensure appropriate forms are used when requesting adjustments insurance transfers or other specific account changes
• Prepare submit and ensure timely claim accuracy for all physician billing to third party insurance carriers either electronically or via hard copy
• Make outbound phone calls to patients or insurance companies as follow up to unpaid denied or rejected billing claims and document according to current policy
• Take inbound calls from patients or insurance companies as follow up to unpaid denied or rejected billing claims and document according to current policy
• Review and work any credit balances to determine if patient and/or insurance company refund is applicable
• Any and all other duties as assigned

Education and Experience Requirements:

• High School diploma/GED or equivalent
• Previous experience in a healthcare facility in relation to accounts receivable or billing practices preferred

Benefits & Compensation:

• Actual starting pay will vary based on education skills and experience.

• We offer a comprehensive Medical Dental & Vision Plan Maternity Bundle 401K with Profit Sharing Tuition Reimbursement Gym & Car Rental Discounts - to learn more clickâhere.â

Essential Requirements:

Ability to:

• Comply with company policies procedures practices and business ethics guidelines.
• Complete job required training.
• Comply with all applicable laws and regulations (e.g. HIPAA Stark OSHA employment laws etc.)
• Demonstrate prompt and reliable attendance
• Work in the office during business hours
• Travel independently throughout the office (which may include movement from floor to floor); frequent bending lifting standing stooping or sitting for long periods of time may be required
• Work at an efficient and productive pace handle interruptions appropriately and meet deadlines
• Communicate and interact in a respectful and professional manner
• Prioritize workload while being flexible to meet the expectations of the daily operations
• Apply principles of logical thinking to define problems establish facts and draw valid conclusions
• Understand and execute a variety of instructions
• Effectively operate equipment and communicate on and operate the phone system
• Work independently with minimal supervision
• Travel to other work locations if required

Performance Expectations Revo Healths Core Values:

• Integrity- Do the right thing and take responsibility for what you do and say
• Service - Consistently contribute to deliver an exceptional experience
• Quality - Act with high purpose committed effort and skillful execution to exceed expectations
• Innovation- Identify progressive solutions that improve service teamwork efficiency and/or effectiveness
• Teamwork - Be a part of the whole; support each other positively

Environmental Conditions:

• Office setting

Notes:

• Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
• We participate in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program please click here: position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification.

Denial Management Specialist

Required Experience:

IC