Revenue Recovery Specialist

Mortenson Dental Partners•Louisville, KY

6d•Onsite

About The Position

The Revenue Recovery Specialist will be responsible for implementing best-practice processes, researching and resolving claim rejections, underpayments, and denials with payers. This role involves training practice teams, communicating revenue-impacting trends to leadership, identifying denial trends, recommending solutions, and working with teams to improve claims processes. The specialist will also resolve problems by clarifying issues, implementing changes for timely and complete reimbursement, and escalating unresolved issues.

Requirements

Associate's Degree or equivalent experience
1-3 years of healthcare insurance claims experience

Nice To Haves

Bachelor's Degree
3-5 years of dental claims experience
Proficiency with computer, copier, fax, telephone, Microsoft Office, Adobe Acrobat

Responsibilities

Implement best-practice processes with practice teams and train/retrain on these processes.
Research appeals and resolve claim rejections, underpayments, and denials with payers.
Process appeals by gathering information and resubmitting claims.
Communicate payment or denial trends that impact revenue to leadership.
Identify trends of denials and claims reprocessing by practice.
Recommend solutions to simplify the claims process.
Work one-on-one with teams with the highest denial rates to improve their processes.
Resolve problems by clarifying issues, researching potential solutions, implementing changes to maximize timely and complete reimbursement, and escalating unresolved issues.