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)
Summary
The Payment Review Specialist is responsible for all aspects of billing, follow-up and collection activity for billable parties assigned by the Manager.
This includes maintaining timely, efficient and accurate accounts receivable insurance follow-up as assigned by the Manager.
Education : Completion of high school or equivalent education preferred License / Certifications : N / A Experience : Billing experience in a healthcare environment with third party payors and a working knowledge of State and Federal billing and debt collection regulations preferred.
Excellent interpersonal skills necessary to deal effectively with clients, patients and third-party payors. To perform this job successfully, an individual should have demonstrated proficiency in Microsoft Excel, Word, PowerPoint, Sunquest, Rhodes Scholar, Rhodes Fusion and an ECS system / site and be able to learn and work efficiently with a variety of clinical laboratory computer systems as needed, such as SCC, Powerpath and NorDx Now.
Demonstrated competence in the use of various office equipment. Demonstrated keyboarding skills. Oral and written communication needs to be professional, clear and concise.
Successfully demonstrates competencies in the position in accordance with the established assessment for the position. Must be able to work any shift, holiday and / or weekend as needed.
Must be able to travel among company sites as needed.
Last updated : 2024-05-22