Revenue Recovery Specialist

Revenue Recovery Specialist

GENERAL SUMMARY

Under the general direction of the Manager of Contract Development, the Revenue Recovery Specialist provides analytical and operational support of the revenue recovery process. This position works to identify, collect and / or refund payment variances to and from appropriate payers. The Revenue Recovery Specialist is responsible for maintaining the integrity of the contract management system by resolving daily error reports, providing updates to the vendor as well as validating the accuracy of all changes.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Analyzes trends through detailed account reviews and presents recommendations to management regarding areas requiring process improvement or training.

Works collaboratively with payers on identified payment discrepancies. Initiates appeals and appropriate correspondences on validated variances.

Maintains an excellent rapport with internal constituents on revenue recovery processes.

Keeps abreast of and communicates to leadership proposed regulation which may impact reimbursement process.

Performs other duties as assigned.

LICENSES AND / OR CERTIFICATIONS

None required.

MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS

Bachelor’s degree in accounting, finance or closely related discipline or equivalent experience required.

Three years of hospital billing experience preferred.

Knowledge of hospital coding necessary.

Must possess strong critical thinking, analytical, interpersonal, communication and organizational skills necessary to summarize and interpret revenue recovery data from a variety of sources.

Knowledge of payer reimbursement mechanisms desired.

Ability to communicate complex technical information effectively in a very dynamic working environment.

Must be proficient in Microsoft Excel and Word.

WORKING CONDITIONS

Normal office environment with little exposure to excessive noise, dust, temperature and the like.

PHYSICAL REQUIREMENTS

Click here to view physical requirements.

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