Recovery Resolution Specialist (Full Time) - Financial Services

Kingman Regional Medical CenterKingman, AZ
Onsite

About The Position

Unlock your potential for professional development! We are hiring a Recovery Resolution Specialist to join our Finance team! Located in northwest Arizona, Kingman has a mild climate with stunning Arizona sunsets! In the shadows of beautiful mountain ranges and nearby lakes, Kingman is an outdoor enthusiasts' paradise with abundant sunshine and is a great community to live, work and play!

Requirements

  • High school graduate or equivalent
  • Experience in a Hospital or Physician’s office related to billing and/or reimbursement.
  • Must have a passion for solving complex medical claim reimbursement problems.
  • Must be an independent thinker with a great attention to detail.
  • Ability to communicate effectively with others.
  • Must be a self-disciplined team member that enjoys working in a collaborative environment.
  • Ability to multitask, set priorities and meet deadlines.
  • Knowledge of CPT /ICD coding, reimbursement analysis, good verbal and written skills.
  • Knowledge of health insurance plan provisions to include commercial and governmental plans, hospital charging methodology, revenue codes, billing rules and regulations.

Responsibilities

  • Reviews Health Insurance claim reimbursement to insure that the hospital is maximizing recoveries.
  • Applies claims processing knowledge in conjunction with the current contracts and processes to identify inappropriate claims payments.
  • Interpreting and entry of facility/provider contracts into the hospitals expected reimbursement software.
  • Auditing the claims against the contracts to ensure accurate audit results.

Benefits

  • Competitive salary
  • Comprehensive benefits
  • Growth opportunities
  • Medical, Dental, Vision
  • Employer Paid HSA for HDHP participants
  • Robust Wellness and Employee Assistance Program
  • Employer Paid Group Life, Short & Long-Term Disability
  • Generous Paid Leave Accruals
  • 403b Pension Plan with Employer Contributions
  • Employee Recognition Programs
  • Employee Discounts
  • Employee Referral Bonus Program
  • Employee Identity Theft Protection
  • On-site daycare exclusive to our employees’ children of all ages
  • Tuition Reimbursement/Scholarships for full-time employees
  • Public Service Loan Forgiveness program eligibility for qualified student loans
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