JobID : 51293
Remote Medical Revenue Recovery Specialist 2
Pay
$20 - $25 per hour
Location
100% Remote
Summary
Join a leading healthcare organization dedicated to maximizing revenue recovery for hospital clients. In this role, you will specialize in analyzing denied claims, performing follow-ups, and managing appeals to ensure prompt and ethical collection efforts. Your work will directly impact the financial health of healthcare providers by resolving outstanding hospital accounts and insurance denials efficiently. This position offers a supportive environment with excellent benefits and growth opportunities.
Requirements
- Minimum of 3 years' experience in healthcare revenue cycle, hospital billing, or related roles
- Knowledge of debt collection laws and HIPAA compliance
- Proficiency with EMR systems, insurance follow-up, and denial management
- Strong understanding of medical coding (ICD, CPT, HCPCS), claims processing, and insurance regulations
- Moderate computer skills including MS Excel, Word, Outlook
- Excellent written and verbal communication skills
- Ability to interpret complex documents such as claims, medical records, and policies
- Ability to multitask effectively in a fast-paced, remote environment
- Critical thinking and problem-solving skills with a focus on process improvement
Responsibilities
Analyze denied claims to identify underlying issues and determine necessary follow-up actionsPrepare and submit appeals with appropriate documentation and justificationCommunicate with payors to follow up on unpaid or underpaid claims and resolve denialsMaintain detailed records of all claim activities within necessary systemsEnsure timely filing and compliance with all regulations and guidelinesIdentify trends and opportunities for process improvement and communicate insights to managementEscalate complex or challenging accounts to management as neededPerform administrative duties related to revenue recovery and system updatesRespond to patient inquiries regarding insurance coverage as neededBenefits
Great company and benefits packageRemote work flexibilityOpportunity to grow within a dynamic healthcare revenue cycle team