Payment Recovery Specialist jobs in Arizona

Payment Recovery Specialist is responsible for analysis of denied reimbursement claims. Ensures appropriate insurance coverage for compliance standards and revenue generation. Being a Payment Recovery Specialist monitors, evaluates, and reviews all cost reporting in support of claims. Coordinates with departments and insurance companies to correct errors as necessary. Additionally, Payment Recovery Specialist requires a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. To be a Payment Recovery Specialist typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

C
Payment Recovery Specialist - Out of State Billing
  • Centauri Health Solutions
  • Phoenix, AZ FULL_TIME
  • Role Summary The Payment Recovery Specialist reviews claims to make sure that payer specific billing requirements are met, follows-up on billing through payment of the claim, answers inquiries, and updates accounts as necessary. The Payment Recovery Specialist is responsible for analysis of denied reimbursement claims and ensures appropriate insurance coverage for compliance standards and revenue generation. The Payment Recovery Specialist coordinates with departments and insurance companies to correct errors as necessary.  Role Responsibilities Resolves billed claims and referred denials Runs reports to determine upcoming workload Performs initial contact (phone, web portal) with payers to validate claim status and reason for denial. Extracts data from client patient accounting system necessary to resolve denied claims Documents account activity in both the Human Arc and client operating system (posts, dispositions, notes, status, etc.) Sorts through and takes appropriate action on incoming client correspondence from insurance companies Requests and obtains medical records from client or other documentation from physicians offices to resolve denied claims Requests additional information as needed from clients, physicians and/or related providers and patients to resolve denied claims Issues appeal letters on non-clinical denials Follows up with patient for additional information Follows up on all appeals, payments and denials, bringing accounts to resolution with both payer and client Communicates pertinent client and payer trends to the Team Leader Review payment accuracy for final disposition of account Performs filing/scanning as needed on assigned accounts Communicates pertinent client information regarding procedures, project status to Team Leader Accountable for meeting established productivity measures and goals Participates in special projects as assigned Role Requirements Knowledge of and experience with Hospital Patient Accounting systems; language, flow of work, processes, and procedures Strong knowledge of insurance types and associated administrative guidelines for each Understanding of hospital revenue cycle and insurance payment methodologies Billing process and procedures (including parameters and requirements of billing) Electronic billing software Understanding of insurance contracts and terminology Knowledge of State policies/procedures on determining eligibility and claims processing Basic understanding of appeals/denial resolution processing needs Strong communication skills and problem-solving ability Strong analytical, project planning and organizational skills
  • 1 Month Ago

I
Payment Specialist
  • IEC CORP GROUP
  • Mesa, AZ OTHER
  • Job Details Job Location: Arizona Mesa IST - Mesa, AZ Salary Range: Undisclosed DescriptionInternational Education Corporation is a leader in post-secondary career education. Working at our employee-o...
  • 17 Days Ago

E
Behavioral Health Tech/Recovery Support Specialist (PRN)
  • Emerald Isle Health & Recovery
  • Sun, AZ FULL_TIME
  • Per Diem Behavioral Health Tech – Residential Treatment Facility Emerald Isle Health and Recovery is looking for a Behavioral Health Tech provides direct support to the clients and the Clinical/Operat...
  • 16 Days Ago

I
Payment Specialist - Corporate
  • Integrated Medical Services
  • Phoenix, AZ FULL_TIME
  • ESSENTIAL FUNCTIONS Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fund...
  • 3 Days Ago

T
Payment Application & Reconciliation Specialist
  • The CORE Institute
  • Phoenix, AZ FULL_TIME
  • Benefits: $19-21/HR Competitive Health & Welfare Benefits HSA with qualifying HDHP plans with company match 401k plan after 6 months of service with company match (Part-time employees included) Employ...
  • 4 Days Ago

I
Payment Specialist (51525)
  • International Education Corporation
  • Mesa, AZ FULL_TIME
  • Job DetailsJob LocationArizona Mesa IST - Mesa, AZDescriptionInternational Education Corporation is a leader in post-secondary career education. Working at our employee-owned company is more than just...
  • 15 Days Ago

C
Recovery Specialist
  • Centerstone
  • Carterville, IL
  • Centerstone is among the nation's leading nonprofit behavioral health systems with thousands of employees dedicated to d...
  • 6/11/2024 12:00:00 AM

H
Recovery Specialist
  • Hillside Detox
  • Newton, MA
  • Job Description Job Description DESCRIPTION: To provide support to patients receiving services for withdrawal management...
  • 6/11/2024 12:00:00 AM

B
Recovery Specialist
  • Behavioral Health Network
  • Greenfield, MA
  • Apply your experience working with individuals on the road to recovery from drug and alcohol addiction at BHN! Join our ...
  • 6/11/2024 12:00:00 AM

P
Recovery Specialist
  • Priority Staffing Group, Ltd.
  • Marion, IL
  • Job Description Job Description Priority Staffing Group is hiring a Recovery Specialist for one of Southern Illinois lar...
  • 6/10/2024 12:00:00 AM

H
Recovery Specialist
  • High Point Treatment Center, Inc.
  • New Bedford, MA
  • Recovery Specialist Program/Location: Women's Addiction Treatment Center (WATC)/ New Bedford Education: High School dipl...
  • 6/10/2024 12:00:00 AM

H
Recovery Specialist
  • Hertz
  • Oklahoma City, OK
  • Job Description A Day in the Life: The Recovery Specialist is responsible for managing claims including billing, collect...
  • 6/9/2024 12:00:00 AM

A
Recovery Specialist
  • AtlantiCare
  • Atlantic City, NJ
  • Job Description POSITION SUMMARY Reports To: Manager/ Unit Director Training: HSFAC required, Zero Suicide training and ...
  • 6/9/2024 12:00:00 AM

T
Recovery Specialist
  • The Hertz Corporation
  • Oklahoma City, OK
  • A Day in the Life: The Recovery Specialist is responsible for managing claims including billing, collections, and adjust...
  • 6/8/2024 12:00:00 AM

Arizona (/ˌærɪˈzoʊnə/ (listen); Navajo: Hoozdo Hahoodzo Navajo pronunciation: [xòːztò xɑ̀xòːtsò]; O'odham: Alĭ ṣonak Uto-Aztecan pronunciation: [ˡaɺi ˡʂonak]) is a state in the southwestern region of the United States. It is also part of the Western and the Mountain states. It is the sixth largest and the 14th most populous of the 50 states. Its capital and largest city is Phoenix. Arizona shares the Four Corners region with Utah, Colorado, and New Mexico; its other neighboring states are Nevada and California to the west and the Mexican states of Sonora and Baja California to the south and so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Payment Recovery Specialist jobs
$47,320 to $62,262