Revenue Recovery Specialist

Mount Nittany Health • Bellefonte, PA

3d

About The Position

The Revenue Recovery Specialist is responsible for identifying and resolving
underpayments and reimbursement variances through detailed account-level review
and payer follow-up. This role ensures reimbursement aligns with contractual
terms and expected payment methodologies, with a focus on maximizing net revenue
recovery.

This position performs work primarily within Epic, utilizing variance payment
work queues and reporting tools to identify accounts with potential
underpayments. The Specialist validates payments, initiates recovery efforts,
and resolves discrepancies through structured workflows.

While this role does not own denial management, it plays a key role in
identifying trends and collaborating with Patient Accounts to address recurring
issues.

This position is execution-focused and partners closely with the Revenue
Recovery Analyst and Reimbursement team by escalating patterns, payer behaviors,
and system issues identified through daily account work.

Requirements

• Associate’s Degree required
• Bachelor’s preferred
• 2 years experience in Revenue Cycle operations preferred, Healthcare industry, or similar background preferred
• Experience working in an EHR or billing system, Epic strongly preferred
• Strong understanding of claim payment workflows and payer behavior preferred
• Strong attention to detail and persistence in follow-up
• Experience working Epic work queues or similar system-driven workflows
• Experience identifying and resolving underpayments
• Familiarity with payer reimbursement methodologies or contract terms
• Experience working with payer portals and payment review processes
• Basic Excel skills for tracking and documentation

Nice To Haves

• Bachelor’s preferred
• 2 years experience in Revenue Cycle operations preferred, Healthcare industry, or similar background preferred
• Experience working in an EHR or billing system, Epic strongly preferred
• Strong understanding of claim payment workflows and payer behavior preferred

Responsibilities

• Identifying and resolving underpayments and reimbursement variances through detailed account-level review and payer follow-up.
• Ensuring reimbursement aligns with contractual terms and expected payment methodologies.
• Maximizing net revenue recovery.
• Performing work primarily within Epic, utilizing variance payment work queues and reporting tools to identify accounts with potential underpayments.
• Validating payments, initiating recovery efforts, and resolving discrepancies through structured workflows.
• Identifying trends and collaborating with Patient Accounts to address recurring issues.
• Escalating patterns, payer behaviors, and system issues identified through daily account work.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 251-500 employees