Are you seeking an exciting opportunity to join a passionate, growing, and dynamic team of professionals who support patients? We are looking for a Revenue Recovery Specialist who focuses on VA and Tricare Claims.
A Specialist I, Revenue Recovery effectively and consistently generates revenue through professional billing practices, using proper and ethical collection efforts. Knowtion Health works as an ambassador on behalf of patients to resolve outstanding hospital bills and never collects monies from patients.
What’s Attractive to the Right Candidate?
- Knowtion Health is a growing firm in a growing industry. Our status as a leader in this industry means that we have the resources to invest in the business and to innovate.
- Our business is intensely competitive and is constantly evolving. We quickly identify new challenges and develop solutions, so you won’t simply be doing what was done last year. Our new employees are frequently pleased and surprised by how quickly we make decisions and adapt to market conditions.
- Knowtion Health culture is inviting and competitive, embracing challenge and celebrating accomplishment; dedicated colleagues striving to provide quality results that have lasting impact.
The Opportunity:
- Using the Artiva workflow management system, follow up on patient bills and claims in order to recover revenue from the responsible business entity. Depending on the department, the business entities may include any or all of the following: commercial health insurance, governmental insurance, veteran’s benefits, third party administrators, attorneys, motor vehicle carriers, employers and worker’s compensation carriers
- Analyze information to identify root cause of denied or unpaid claim and determine next steps
- Pursue & obtain information needed to overturn claim denials, including patient & responsible party information, medical necessity, employer information, accident information
- Ensure appropriate timely filing guidelines are met for maximum reimbursement
- Escalate complex, complicated or challenging accounts to management to ensure accounts are progressing effectively
- Identify and discuss root cause issues with management
- Consequence to errors in judgment are critical (HIPAA violation penalties, lost revenue for hospital client, other penalties or fines)
What you bring:
- Minimum of 1 years’ experience working for a hospital or payer or in a customer service position. Preferred experience within healthcare insurance billing
- A High School Diploma or GED is required.
- A high level of professionalism
- Adherence to HIPAA requirements
- Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook
- Familiarity with CPT, ICD coding preferred
- Experience with various government, military and third-party VA contracted payers including The Veterans Administration, VA Community Care Network, Tricare and ChampVA preferred
The above statements are intended to provide the general nature and level of work being performed by most people assigned to the position. They are not intended to be an exhaustive list of all responsibilities, duties and requirements.
This position is remote and requires a dedicated, distraction-free workspace at home. We offer a competitive benefits package including medical, dental, vision, life insurance, short term disability, long term disability, bonus opportunities, paid holidays, 401k, and a generous PTO policy.
The compensation range for this position starts at $18/hour.
Knowtion Health gives priority to applicants located in the following states: AR, AL, AZ, FL, GA, IL, KS, KY, MD, MA, MN, NC, OH, OK, PA, SC, TN, TX, WV, VA.
