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Revenue Recovery Specialist
Knowtion Health. Manage an inventory from multiple clients with complex denials .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing complex inventory and denials while ensuring efficient revenue cycle recovery. Proficient in utilizing web-based client and payer portals, maintaining clear communication, and preparing appeals with comprehensive documentation.
Highest-signal resume keywords
Claims ExperienceProficient Use Of Web-Based Client And Payer PortalsEffective Written And Verbal Communication SkillsProficient Use Of Notation DatabasesAbility To Multi-Task And Problem Solve
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ManagementRevenue Cycle RecoveryDenial ResolutionAppeals PreparationDocumentation Skills
Soft Skills
Critical ThinkingPrioritizationSelf-MotivationSelf-Discipline
Tools & Technologies
Microsoft WordMicrosoft ExcelWeb PortalsClient SystemsDatabases
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Inventory ManagementPayer RepresentativesClient-Specific ProtocolsClaim ResolutionAged Accounts
About the role
Key responsibilities & impact- Manage an inventory from multiple clients with complex denials
- Work new and priority accounts within 48 business hours
- Work aged and high-dollar accounts to ensure efficient revenue cycle recovery
- Review accounts requiring substantive review by coding and utilization departments
- Identify and resolve denials to obtain timely payment for clients
- Prepare and submit appeals with required documentation
- Maintain clear, concise, and comprehensive notation throughout claim resolution
- Maintain professional relationships and communication with patients and payer representatives
- Learn and implement client-specific protocols and procedures
- Use web portals, client systems, and databases to document and resolve accounts
- Identify recent payer resolution trends and relay them to peers
- Communicate questions and concerns proactively to the supervisor
Requirements
What you’ll need- High school diploma or GED
- Claims experience is helpful, preferred
- Experience with Microsoft Word and Excel preferred
- Ability to multi-task, think critically, prioritize, and problem solve
- Effective written and verbal communication skills
- Self-motivated and self-disciplined
- Proficient use of web-based client and payer portals
- Proficient use of notation databases
- Dedicated, distraction-free work space at home
- Valid government-issued photo ID required during screening and/or interviews
- Must be located in one of the priority states: Alabama, Arkansas, Arizona, Florida, Georgia, Idaho, Indiana, Kansas, Maine, Michigan, Missouri, Mississippi, North Carolina, New Mexico, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Wisconsin, or West Virginia
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