Customer Service Representative
2 weeks ago
Healthcare and Insurance Claims Client
Role: Customer Service-Recovery Cycle Specialist
Interview Process: 1 onsite (20-25 minutes)
Start Date: Mid-October and starting classes each Monday going forward
Pay Rate: $20/hr
Location: Creve Coeur, MO 63141
Shift: Shifts are 8 hour shifts somewhere between 7am-5pm
Duration: 3 months to start. There is a possibility for this to extend or turn into a contract, but it also is possible it just ends up as a 3 month role.
Position Overview:
As an extension to a company’s Revenue Cycle Management Process, the Recovery Cycle Specialist plays a vital role in ensuring the accurate and timely management and payment of medical bill submissions. This role involves managing and executing strategies to recover outstanding payments, ensuring accuracy in billing and collections, and maintaining effective communication with the payers to get recoveries for clients as quickly as possible.
Key Responsibilities:
Manage a book of billed case inventory and see each case to conclusion in a timely manner.
Confirm receipt of bill submissions via phone and email, establishing 2-way communication to appropriately update the status of the case.
Verify and update adjuster/payer information to maintain accurate records in the system.
Obtain and track payment status and expected payment amounts from payers.
Manage appeals and denials, where applicable, in an effort to get payments for clients.
Support specialist projects as needed, providing expertise and assistance in optimizing recovery efforts.
Maintain comprehensive records of all communications and actions taken on each case.
Qualifications:
Associate degree or equivalent experience required
Experience in recovery cycle management preferred.
Strong attention to detail and ability to manage multiple tasks simultaneously.
Excellent communication skills, both written and verbal.
Ability to analyze information and identify opportunities for resolution.
Proficient in using office software (e.g., Microsoft Office Suite).
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