The Revenue Recovery Specialist is responsible for processing and reporting revenue recovery activities, including insured services, stop loss and third-party liability.
Job Duties and Responsibilities :
- Reviews and pursues recoveries on all outstanding insured services monthly billings.
- Ensures the Insured Service data base is current with billings, and payment files. Produces monthly and adhoc reports
- Completes all insured service CERTS as required by United HealthCare and submits for payment
- Monitors high-cost cases and bills for stop loss recoveries
- Prepares claims listings for third party liabilities recoveries
Education :
High school diploma or GED required. Bachelor's degree in Finance, Accounting or Healthcare Administration preferred.
Experience :
One (1) year experience in healthcare claims, finance or accounting department.
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