Revenue Recovery Specialist

Boost Healthcare is seeking a highly skilled Revenue Recovery Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for investigating claims, following up with payers, and collecting insurance accounts receivable to enhance revenue collection for our clients.

Key Responsibilities:

• Follow-up with insurance carriers on underpaid claims by phone and complete follow-up actions as advised.
• Research claim variances in hospital patient accounting systems, including EPIC, Meditech, Cerner, and Athena.
• Identify payer-specific issues and remove barriers to processing claims.
• Draft appeals to insurance carriers on denied or underpaid claims.
• Review claim detail, including coding, billing, and insurance information, for discrepancies.
• Run claims data through various pricing software.
• Strive to maintain production, quality, and project-based benchmarks.

Required Qualifications:

• High School Diploma or GED required; Bachelor's degree preferred.
• Experience in the revenue cycle or healthcare finance related field required.
• Demonstrated knowledge of billing/collection rules, regulations, systems, and databases.
• Critical thinking skills, analytical skills, and financial acumen.
• Strong initiative, detail-oriented, and creative problem-solving skills.
• Professional interpersonal and communication skills.
• Team-oriented and flexible.
• Base download/upload internet speed of at least 35Mbps.
• Private and quiet, dedicated space to work.

What We Offer:

• Competitive benefits package, including medical, dental, vision, and 401k benefits.
• Flexible schedule and stipends that cover education and remote work.

Boost Healthcare is an Equal Opportunity Employer. Offers of employment are contingent on successful completion of a background check.