Revenue Recovery Specialist

Job Summary

A company is looking for a Revenue Recovery Specialist II who will generate revenue through professional billing practices and ethical collection efforts.

Key Responsibilities

• Analyze denied claims and execute follow-up actions, including appeals preparation and submission
• Communicate with payors to resolve unpaid or underpaid claims and ensure timely recovery
• Maintain accurate records of claim activities and ensure compliance with regulations governing claims processing

Required Qualifications, Training, and Education

• Minimum of 3 years' experience in a hospital, payer, or related revenue cycle area
• Preferred experience in healthcare insurance billing, medical coding, or claim adjudication
• Expertise in medical terminology and coding (ICD, CPT, HCPCS, etc.)
• Advanced critical thinking skills for problem definition and data analysis