Clinical Revenue Recovery Associate

6 days ago


Costa Mesa, California, United States APN Software Services Inc Full time

Unlock your potential as a Clinical Revenue Recovery Associate at APN Software Services Inc.

About the Role

We are seeking an experienced and skilled individual to join our team as a Clinical Revenue Recovery Associate. In this role, you will serve as the primary point of contact for insurance companies, government payors, and patients to resolve payment discrepancies and account issues.

Key Responsibilities
  • Complete assigned accounts within designated work queues to ensure timely resolution.
  • Evaluate claims to identify opportunities for maximum reimbursement, utilizing contract management tools for accurate pricing.
  • Review and initiate appeals for underpayments, adhering to all necessary timelines to secure reimbursement.
  • Provide clear and concise communication with payors and patients regarding billing, coding, and underpayment issues.
  • Escalate complex cases to direct supervisor for review and resolution.
Requirements
  • 1 year of previous hospital business experience or equivalent required.
  • Basic knowledge of insurance plans, hospital reimbursement methodology, and/or ICD10 and CPT coding.
  • High school diploma or equivalent required.
What We Offer

We offer a competitive salary and benefits package, including:

  • Average Salary: $45,000 - $65,000 per year.
  • Ongoing training and development opportunities.
  • A dynamic and supportive work environment.
About Us

APN Software Services Inc is a leading provider of software solutions for the healthcare industry. Our mission is to empower healthcare professionals to deliver exceptional patient care while optimizing revenue cycle performance.



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