Revenue Recovery Associate
Houston, TX - USA
Job Summary
This is a remote position.
Position Summary:
Revenue Recovery Associates are responsible for keeping AR within acceptable limits by aggressively following up on all outstanding claims including resolving denials appealing claims for additional payment ensuring patient/client billing information in the provided software is accurate. Accuracy is critical as this is our business fundamental process.
Essential Duties and Responsibilities:
To perform this job successfully an individual must be able to perform the following satisfactorily; other duties may be assigned. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Provide effective communication amongst all team members
regarding claim creation errors and/or trends regarding reasons for
denials or outstanding claims.
Ensure accurate submission of client claims
Distribute billing reports weekly to all clients
Review daily collections and monthly reporting as well as
recommendations for billing audits
Monitor and follow up on progress of submitted claims and paperwork
Identify lost revenue through AR cleanup/follow up
Verify accuracy of data compile data and translate information into
multiple formats
Identify and recommend potential revenue challenges to maximize
Other job duties as assigned
- High School Diploma
- 2-3 years of medical billing or insurance experience required
- Understanding of office applications including MS Office (Word Excel Outlook)
- Home Health RCM Experience needed
- Minimum of 1-2 years of home health or hospice billing experience (preferred)
- Knowledge of Medicare Medicaid commercial insurance and Medicare Advantage billing
- Ability to verify patient insurance eligibility and benefits
- Knowledge of Medicare NOA/NOE and final claim processes
- Understanding and Knowledge of Authorizations
- Experience with EVV (preferred)
This is a contract position and is not eligible for company-sponsored employee benefits. Compensation will be based on the agreed hourly rate and approved hours worked.
Required Skills:
Qualifications: To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Education/Experience: EPIC experience is a plus High school diploma 4-5 years of medical billing or insurance experience required Language Ability: Read analyze and interpret business professional technical or governmental documents. Write reports business correspondence and procedure manuals. Effectively present information and respond to questions from managers customers and the public. Mathematical Ability: Calculate figures and amounts such as discounts interest commissions proportions percentages Reasoning Ability: Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Interpret a variety of instructions furnished in written oral diagram or schedule form. Computer Skills: Minimum typing speed of 40 wpm Minimum 10-key speed of 175 ks-pm Understanding of basic office applications including MS Office (Word Excel Outlook)
Required Education:
High school diploma4-5 years of medical billing or insurance experience required