Revenue Recovery Specialist

To enhance revenue recovery efforts, the fully remote Revenue Recovery Specialist will investigate accounts, resolve outstanding balances through appeals, and identify insurance underpayments while managing a high volume of cases daily. Key responsibilities Identify and resolve 25-30 accounts daily that have been improperly denied or underpaid by insurance carriers Monitor denial and appeals trends, providing management with reports and recommendations for process improvements Verify insurance payments for accuracy and compliance, and establish relationships with third-party payor representatives to resolve claims issues Required qualifications High School diploma or equivalent required 3 to 5 years of experience in Hospital Billing, Insurance follow-up, or Denial resolution, with at least 3 years in a hospital patient accounts department Intermediate knowledge of hospital billing, revenue cycle processes, and medical terminology Proficiency with Microsoft Office Suite and other computer applications Ability to navigate healthcare information systems to identify root causes of denials and variances