Job #9231446
Revenue Recovery Specialist
Revenue Recovery
Full-Time - 7:30am-4pm - Days, Monday-Friday - 36 Hours/Week
Abington Health Center - Willow Grove
2500 Maryland Road, Willow Grove, PA 19090
Willowood Location
Responsibilities:
Analyze third-party denials and prepare relevant reports regarding trends in denials and rejections. Work with Service Lines, ancillary department's staff and third-party payer provider representatives to identify source of denials and develop processes to eliminate and/or minimize denials and rejections to improve cash flow. Thorough understanding of third-party payer pre-admission, admission, discharge and billing requirements. Maintain understanding of third-party regulations for appeals and appeal follow-up. Interpret data from Denial Management System as it relates to receiving full and proper payments per contractual obligations. Bring accounts to resolution: Develop strategies for appeal, appeal follow-up and/or reprocess accounts. May involve contact with patient, insurers, physician offices and other hospital staff. When appropriate, applies denial and write-off codes in the patient accounting system to ensure correct receivables balance.
Qualifications:
Responsibilities:
Analyze third-party denials and prepare relevant reports regarding trends in denials and rejections. Work with Service Lines, ancillary department's staff and third-party payer provider representatives to identify source of denials and develop processes to eliminate and/or minimize denials and rejections to improve cash flow. Thorough understanding of third-party payer pre-admission, admission, discharge and billing requirements. Maintain understanding of third-party regulations for appeals and appeal follow-up. Interpret data from Denial Management System as it relates to receiving full and proper payments per contractual obligations. Bring accounts to resolution: Develop strategies for appeal, appeal follow-up and/or reprocess accounts. May involve contact with patient, insurers, physician offices and other hospital staff. When appropriate, applies denial and write-off codes in the patient accounting system to ensure correct receivables balance.
Qualifications:
- High school diploma.
- Some college courses related to third-party billing preferred.
- AAHAM CRSCI certification preferred.
- 3+ years of experience with collections follow-up with insurance carriers.
- 2+ years of experience with computerized billing systems.
- Hands-on experience in billing for a variety of insurance carriers.
- Excellent written and verbal communication and interpersonal skills.
- Demonstrated knowledge in personal computing applications.
- Knowledge of third-party reimbursement.
- Excellent organizational and coordination skills.
- Solid skills in use of patient accounting system and contract management system.
- Knowledge of Word/Excel/Analytics tools.
- Ability to manage time effectively.
- Thorough understanding of hospital billing and major third-party contracts.
Abington Hospital – Jefferson Health is an equal opportunity employer, and our policy prohibits discrimination in employment because of race, creed, national or ethnic origin, gender, sexual orientation, age, disability, marital status, or veteran status.
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