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Revenue Recovery Analyst

Company: Resurgens Orthopeadics
Location: Buckhead
Posted on: March 17, 2023

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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