Revenue Recovery Specialist - Zero Balance/Underpayment Recovery
Boost Healthcare Consulting LLC
Location
Alameda, CA | United States
Job description
Location: 100% remote position, office is headquartered in Alameda, California.
What We Do: Boost is a consulting firm focused on helping healthcare providers identify and recover revenue. Our team works with clients to improve overall revenue by recovering denied and underpaid claims from both commercial and government payers. Our retrospective claims review is contingency based with no upfront costs to our clients and utilizes our proprietary system, staff, and resources to recover revenue. Our approach leverages both technology and people, and our findings go straight to our clients’ bottom line. Boost provides our clients with claims data showing payer performance and root cause analysis of denial and underpayment issues to use as leverage when negotiating with payers and assessing their overall business performance.
Who We Are: Boost Healthcare is a remote team of 75 employees located in AZ, CA, FL, GA, IL, MA, MN, MT, NY, OH, OR, PA, SC, TX, and WA with a nationwide clientele base lead by Liana Hamilton, founder and managing partner. Our core values are being Trustworthy, Dedicated, Valued, Resourceful, Fun and Inclusive. We prioritize hard work and collaboration among our teams, our clients, and the communities we serve. We place high importance on connection, including face-to-face daily interactions, and make sure to carve out time for play. Boost offers medical, dental, vision, and 401k benefits as well as a flexible schedule and stipends that cover education and wellness. We hope you join our team and grow with us.
Position Summary:
As a Revenue Recovery Specialist, you will be exposed to the complex reimbursement methodology between hospitals and insurance companies. Recovery specialists work closely with assigned project teams on the specialized retrospective recovery process. You will be exposed to various payers, clients, and systems. This position will investigate claims, follow up with payers, collect the insurance accounts receivable, escalate stalled claims and other related activities that enhance revenue collection for our clients.
Primary Duties and Responsibilities:
- Follow-up with insurance carriers on underpaid claims by phone; complete follow-up actions as advised
- Research claim variances in hospital patient accounting systems (EPIC, Meditech, Cerner, Athena)
- Identify any payer specific issues remove barriers to processing claims
- Draft appeals to insurance carriers on denied or underpaid claims
- Review claim detail including coding, billing, and insurance information for discrepancies
- Run claims data through various pricing software
- Strives to maintain production, quality and project-based benchmarks
Preferred Qualifications:
- High School Diploma or GED required; Bachelor’s degree preferred
- Experience in the revenue cycle or healthcare finance related field required
- Demonstrated knowledge of billing/collection rules, regulations, systems, and databases
- Critical thinking skills, analytical skills, and financial acumen
- Strong Initiative, detail oriented
- Creative problem-solving skills
- Professional interpersonal and communication skills
- Team-oriented and flexible
Compensation:
- Base salary range USD $36,300 - $53,700 annually
Benefits :
- Medical, dental, vision, 401k + matching
- Generous Paid Time Off (PTO) plan
- Education and wellness stipends
- Paid holidays
- Performance-based bonus opportunities
- Employee referral incentive
- Flexible working environment
Working Conditions:
- Remote opportunity with an office in Alameda, CA that fosters a culture of collaboration and flexibility
- Base download/upload internet speed of at least 35Mbps - HOT SPOT INTERNET IS NOT ACCEPTABLE.
- Private and quiet, dedicated space to work
- Essential equipment will be provided by Boost Healthcare
- Candidate must reside in: AZ, CA, FL, GA, IL, MA, MN, MT, NY, OH, OR, PA, SC, TX, or WA
Boost Healthcare is an Equal Opportunity Employer. Offers of employment are contingent on successful completion of background check.
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