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Revenue Recovery Specialist, Clinical Denials
Knowtion Health. Use the Artiva workflow management system to follow up on patient bills and claims and recover revenue from responsible business entities .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in drafting and submitting appeals to overturn claim denials while adhering to HIPAA and debt collection regulations. Proficient in utilizing workflow management systems and maintaining accurate documentation for effective revenue recovery.
Highest-signal resume keywords
Drafting AppealsClaim Denial AnalysisHIPAA ComplianceMS Excel ProficiencyCPT and ICD Coding Familiarity
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim Denial AnalysisDrafting AppealsMathematical AbilityDocumentation SkillsRevenue Recovery
Soft Skills
Professional CommunicationOrganizationMulti-taskingProblem-solving
Tools & Technologies
Artiva Workflow Management SystemMS ExcelMS WordMS OutlookWeb-based Client and Payer Portals
Certifications & Qualifications
Valid Government-issued Photo ID
Industry Keywords
Debt Collection RegulationsHIPAA RequirementsCPT CodingICD CodingRevenue Cycle Management
About the role
Key responsibilities & impact- Use the Artiva workflow management system to follow up on patient bills and claims and recover revenue from responsible business entities
- Analyze information to identify the root cause of denied or unpaid claims and determine next steps
- Pursue and obtain information needed to overturn claim denials, including patient and responsible-party information, medical necessity, employer information, and accident information
- Ensure timely filing guidelines are met for maximum reimbursement
- Escalate complex, complicated, or challenging accounts to management
- Identify and discuss root-cause issues with management
- Communicate professionally with payers and patients daily
- Draft appeals with supporting documentation
- Maintain accurate account notes and records
Requirements
What you’ll need- Minimum 1 year of experience drafting and submitting appeals with supporting documentation to overturn claim denials
- High level of professionalism
- Adherence to all debt collection rules and regulations
- Adherence to HIPAA requirements
- Moderate computer proficiency, including working knowledge of MS Excel, Word, and Outlook
- Organization and documentation skills to ensure timely follow-up and accurate record keeping
- Mathematical ability to calculate rates using addition, subtraction, multiplication, and division
- Familiarity with CPT and ICD coding preferred
- Ability to multi-task and prioritize work
- Proficient use of web-based client and payer portals and notation databases
- Valid government-issued photo ID required during screening and/or interviews
- Dedicated, distraction-free work space at home
Benefits
Comp & perks- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Short-term disability
- Long-term disability
- Bonus opportunities
- Paid holidays
- 401(k)
- Generous PTO policy
- Remote work arrangement
- Dedicated, distraction-free work space at home