Job Description
Job Description
Description :
Our Company : Revco Solutions provides best-in-class Revenue Cycle management to Hospital and Physician Service clients.
Position Description : The Recovery Audit Specialist is responsible for the recovery of over payments made to healthcare providers on claims processed by Third Party Administrators (TPA) for self-funded employers.
This requires a collaborative, assertive, persistent approach while overcoming obstacles for payment of the overpayment.
This role owns the process and manages cases with efficiency and exceptional time management.
Duties & Responsibilities :
- Contact Healthcare Providers with overdue accounts and attempt to either collect the overdue amount or negotiate a promise to pay plan to collect payments in installments.
- Locate providers through internet searches and phone calls to update contact information.
- Resolve provider issues when provider disputes an overpayment request.
- Continuous reporting on the status of unpaid accounts and any repayment progress.
- Working on recovery cases under 180 days from providers.
Qualifications / Requirements :
- Understands medical terminology and can speak to ICD-10 codes, CPT codes, and HCPCS codes.
- Experience in healthcare claims environment.
- Expertise with CMS / Medicare and / or commercial insurance reimbursement / payment policies.
- 2+ years recovery experience with outbound collection calls.
- Excellent Customer Service skills and interface with Healthcare Providers.
- Active Coding Certification - CPC, CCS, CMC a plus.
- Demonstrates excellent organization skills with attention to detail.
- Proficient in Microsoft Office, including Microsoft Word, Outlook, and Excel.
- Experience in multi-tasking in multiple platforms and software programs, as well as equipment.
Requirements :
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