Revenue Recovery Analyst
Company: Resurgens Orthopeadics
Location: Buckhead
Posted on: March 17, 2023
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Job Description:
Description: United Musculoskeletal Partners is seeking a
Revenue Recovery Analyst. This role will review, and appeal claims
that are potentially underpaid for all payers. Utilizing the
contract management system work queue to identify and resolve
variances where actual payments do not match the calculated
expected payment with follow up and collections of these payment
variances. Responsibilities include calling insurance companies to
resolve authorization and claim underpayments and writing appeals
and letters to insurance companies and follow up on appeals till
payment or efforts exhausted.Requirements: As a key member of the
Revenue Integrity team, the Revenue Recovery Analyst: - Daily work
the assigned work queue for payment variances and resolve, call and
or appeal a defined number of accounts per day as instructed by
leadership. - Utilize the standard process and procedures for
marking status in the contract management system - Ensure the
Contract Management system is updated with notes that flow back to
Patient Accounting system. - Understand and utilize payer contracts
and provider manuals when disputing payment variances. - Follow up
on all appeals, claims, letter, or other documentation within 20
days or less of the submission - Ensure that assigned accounts are
appealed timely. - Report any known errors in the fee schedules
loaded in Contract Management system in the Revenue Integrity Issue
Log. - Maintain working knowledge of the patient accounting system
for each location where work is assigned - Maintain a working
knowledge of the Contract Management system - Coordinate with other
Revenue Integrity and Revenue Cycle Staff on known payer issues.
EDUCATION AND EXPERIENCE - High School Diploma - Minimum of 5 years
experience Healthcare billing and collections (professional
preferred) - Working knowledge of standard professional
reimbursement methodologies - Working knowledge of Athena Collector
Practice Management SolutionSKILLS/ABILITIES - Excellent verbal,
analytical and interpersonal skills - Basic level of Excel
knowledge required for optimal functionality in the role -
Proficiency in Microsoft Office SuitePI206866982
Keywords: Resurgens Orthopeadics, Athens , Revenue Recovery Analyst, Professions , Buckhead, Georgia
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