Revenue Recovery Specialist (Physician Billing) - Melville, NY

CRD Careers (Independent Recruiters) • Melville, NY

8h • $41,000 - $50,000

About The Position

The Opportunity: We are representing a premier healthcare system in New York looking for a Revenue Recovery Specialist. This is a critical role within the Physician Billing department where your expertise in navigating the complexities of the revenue cycle directly impacts the organization’s financial health. If you are a "claims detective" who loves resolving denials and securing payments, this is the career move for you.

Requirements

• Experience: 1–2 years of prior Physician Billing experience, specifically in carrier follow-up.
• Technical Knowledge: Strong understanding of Medicare/Medicaid regulations and medical insurance coverages.
• Software: Epic experience is highly preferred.
• Compliance: Thorough knowledge of HIPAA regulations.
• Note: This is a full-time position located in New York. Candidates must have a High School Diploma or GED.

Responsibilities

• Claims Resolution: Perform rigorous follow-up on all outstanding physician billing accounts according to established policies.
• Denial Management: Analyze Remittance/EOBs and submit strategic appeals for denials or underpayments.
• Payer Navigation: Place outbound calls to insurance carriers to verify coverage and resolve claim status discrepancies.
• System Optimization: Utilize the Epic System to accurately update patient accounts and initiate billing

Benefits

• Stable Industry: Secure a role within an essential healthcare infrastructure.
• Professional Growth: Work independently while receiving clear direction in a high-performing billing environment.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED