Revenue Recovery Coordinator – Western Region

Full Time
Remote
Posted 3 weeks ago

Job Description:

This position will provide exceptional service, while ensuring service level agreements (SLA) are met and revenue cycle is managed appropriately. This role requires maintaining a positive relationship by promoting the Integra Connect suite of products and services.

The Revenue Recovery Coordinator requires strong communication skills and the ability to maintain a positive relationship with our clients and workforce (domestic/global).  This role requires critical thinking, problem solving, and analytical skills to identify trends and propose innovative solutions.  Must exhibit strong organizational skills with the ability to multi-task and meet aggressive deadlines.

Responsibilities:

  • Provide support to assigned clients and understand the clients’ operating requirements, including overall claims expectations and metrics. Conduct analyses to investigate ongoing or onetime operational issues.
  • Serve as point-of-contact for complaints or complicated accounts. Review and respond to claims escalated by the client’s compliance, operations, or advocate team.
  • Perform daily, weekly, and monthly reviews and analyses using operational metrics and reports to identify areas of improvement. Communicate identified trends and proposed resolutions with leadership.
  • Proactively research and resolve problems, communicate trends, and proposes solutions for client and/or operational improvement. Exhibit expert knowledge regarding the products and services offered. Inform clients of new available services or updates to existing ones.
  • Partner with multiple levels of management and departments to maximize the efficiency of the billing process and accuracy of claims adjudication.
  • Complete special projects as assigned, the specifications of a project are satisfied, regular status updates are provided, and quality standards are met.

Requirements:

  • High School Diploma or GED required.
  • Five (5) years of medical billing experience required with a demonstrated ability to evaluate data, navigate payor adjudication systems and track record of effectively liquidating accounts receivables balances to cash; medical transportation billing experience a plus.
  • Experience leading and/or working with global team required.
  • Possess strong analytical, organizational and problem-solving skills; ensures efficiency and quality standards are met.
  • Ability to effectively utilize proprietary accounts receivable billing system and internet tools, (e.g., internet mapping programs, eligibility websites, address search engines). Effective in research skills to identify non-conventional methods to penetrate third party payor organizational structure and identify key decision makers.
  • Technical knowledge of revenue cycle management principles, including working knowledge of cash posting processes, medical record guidelines, coding, and accounts receivable follow-up (e.g. HCPCS, CPT, ICD codes). In depth knowledge of payor adjudication processes especially regionalized nuances.
  • Knowledge of HIPAA requirements, Sarbanes-Oxley (SOX) requirements, PHI, PCI, and compliance regulations.

Benefits:

Integra Connect, LLC provides a comprehensive benefits plan.

  • Medical/Dental/Vision Insurance beginning the 1st of the month following your date of hire
  • 401k with employer match
  • Paid Time Off
  • Paid Holidays and Floating Holiday

Equal Opportunity Employer

Job Features

Job CategoryRevenue Cycle Solutions Management

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