Revenue Recovery Specialist
Knowtion Health
Raton
04.2023 - Current
- Analyzed claims data to identify trends in denials and rejections.
- New and priority accounts are to be worked on within 48 business hours.
- Aged and high-dollar accounts are to be worked as necessary to ensure efficient revenue cycle recovery.
- Accounts that require substantive review by the coding and utilization departments
- Identify and resolve denials to obtain timely payment for clients.
- Prepare and submit appeals with the required documentation in a timely manner.
- Use professional notation that is clear, concise, and comprehensive throughout the complex claim resolution process.
- Maintain professional relationships and communication with patients and payer representatives.
- Learn and implement client specific protocols and procedures.
- Demonstrate proficiency with web portals, client systems, and databases as necessary to document and resolve accounts.
- Identify recent payer resolution trends and relay them to peers.
- Communicate questions and concerns proactively to supervisor for resolution.
- Responsible for full revenue cycle billing for medical claims to ensure proper reimbursement for services rendered.
- Resolve issues with pending, rejected or denied insurance claims, through re-submissions and appeals driving in net collections.
- Responsible for managing insurance A/R follow ups and resolution of all insurance claim billing errors.
- Act as a liaison, when necessary, between internal and external partners to resolve claims and billing issues.
- Identify trends or issues and initiate corrective action to improve revenue cycle management claim resolution rates.
- Provide feedback and advice on product, technology, and service improvements.
