Revenue Recovery Associate

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

• 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 reimbursements within the terms of the facility agreements

Requirements

• 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)

Benefits

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.