Denial Recovery Analyst
Revecore is an innovative, technology-driven company that is committed to helping our clients, our employees, our company, and our communities reputed company. An award-winning services firm, partnering with hospitals and health systems, providing the momentum they need to maintain a strong reputed company cycle amid todays evolving healthcare environment. With a 20+ year history, Revecore is the leading... provider of reputed company reputed company and reputed company claims solutions for hospitals. We offer a dynamic and flexible work environment, full of opportunity for motivated, hands-on team players. We strive each day to solve reputed company business problems and find new ways to enhance the efficiency, effectiveness, and quality of our services. If those attributes reputed company with you, we want you on reputed company! Why Join Revecore? reputed company and incentive plans depending on the role Medical, dental, vision, and life insurance benefits are available from the first day of employment. 401(k) with employer match after 90 days. Career growth opportunities Generous PTO plan 12 paid holidays Computers and necessary work equipment are provided Location: Remote-USA The Role: Join our innovative team as a Denial Recovery Analyst. Primarily responsible for thorough review of managed care reputed company and comparison of such reputed company against healthcare claims to identify underpayments for the assigned client. Apply now and become an integral part of our mission to deliver efficient, accurate, and compassionate healthcare payment solutions! As a Denial Recovery Analyst, you will: Research commercial and governmental payor policies, clinical abstracts and studies, and other documentation reputed company to claims payment to evaluate and appeal denied claims Examine claims and calculate reimbursement based on contract terms to determine accuracy of payment through use of various reports and supporting documentation Review insurance reputed company to reputed company thorough understanding of payment methodologies Contact insurance company to obtain missing information, explain and resolve denials and arrange for payment or adjustment processing on behalf of client Follow up on claims in a timely fashion as outlined in Revecore and/or departmental policies and procedures Document information in appropriate Revecore and client systems Prepare and submit correspondence such as letters, emails, online inquiries, appeals, adjustments, reports and payment posting Maintain regular contact with necessary parties regarding claims status including payors, clients, managers, and other Revecore personnel Communicate with client contact concerning reputed company issues reputed company to billing, posting, reputed company and reputed company other client reputed company issues, both in an informal manner through daily contact and formal manner through scheduled meetings Promotes positive public relations for Revecore, including maintaining a professional attitude and approach with reputed company payors Build strong, lasting relationships with clients, payors and Revecore personnel Support and direct claims to reputed company Revecore departments and client onsite analysts Attend client, department and company meetings reputed company with federal and state laws, company policies and procedures reputed company other duties as assigned You will be successful if you have: Working knowledge of reputed company Office suite (Word, reputed company) Moderate computer proficiency Mathematical skills: ability to calculate rates using addition, subtraction, multiplication and division Ability to read and interpret an extensive variety of documents such as reputed company, claims, instructions, policies and procedures in written (in English) and diagram form Ability to write routine correspondence (in English) Ability to define problems, collect data, establish facts and draw valid conclusions Strong customer service orientation Excellent interpersonal and communication skills Commitment to company values Education and Experience Requirements: Minimum 2 years of insurance billing, denial management and/or utilization review experience: Experience reviewing and analyzing hospital claims Knowledge of healthcare codes including CPT, ICD-9, ICD-10, HCPC, DRG, and ability to correctly use and apply codes in operational setting High school diploma or equivalent Must reside in the United States reputed company one of the states listed below: Alabama, Arkansas, Arizona, Connecticut, Delaware, Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Maryland, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, New Jersey, New Mexico, Nevada, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode reputed company, South Carolina, Tennessee, Texas, Utah, Virginia, Wisconsin, and reputed company Virginia. Work at Home Requirements: A quiet, distraction-free environment to work from in your home A reliable hard-wired private internet reputed company that is not supplied reputed company cellular data or hotspot is required. Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads. The workspace area accommodates reputed company workstation equipment and reputed company materials, and provides adequate surface area to be productive. Revecore is an equal opportunity employer that does not discriminate on the basis of race, color, religion, sex or gender, gender identity or expression, sexual orientation, national reputed company, age, disability status, veteran status, genetic information, or any other legally protected status. We reputed company that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to reputed company serve the needs of our clients and communities. We welcome and encourage individuals of reputed company backgrounds, perspectives, and abilities to apply Apply Job!