Revenue Recovery Associate Analyst I (Physicians)
About The Position
The Revenue Recovery Associate Analyst is a subject matter expert and is responsible for the maximization of reimbursement by identifying contractual variances between posted and expected reimbursement for managed care, government contracts, and other various payors. This responsibility encompasses contractual reimbursement analysis and communication of payment discrepancies to internal and external departments. Identify trends in underpayment/overpayments, denials, revenue opportunities and revenue leakage. Evaluate trends with analysis and judgement to work towards resolutions and improvement of revenue cycle processes. Analyze and interpret contract reimbursement and provide feedback to management staff as required. Review large amounts of remittance data looking for charge/billing opportunities for revenue optimization
Requirements
- 3-5 years of relevant job experience in the Physicians insurance industry required
- Keen understanding of the revenue cycle and opportunity for uncollected revenue required.
- Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.
- This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
- Highschool, GED, Equivalent experience
- CRCR certification within 9 months of hire
Responsibilities
- Research and identify payment discrepancies from various sources
- Compile and analyze data to make recommendations
- Work with financial and clinical departments collaboratively
- Review contract validation, updates, and interpretation
- Resolve underpaid claims in an effective and timely fashion
- Analysis of payor policies and exercising and interpretation of impact on reimbursement
- Present data and effectively communicate to various levels of end users
- Ensure account analysis is validated prior to distribution
- Work on multiple projects/initiatives at a time
- Maintain applicable continuing education requirements
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
- Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
