Claims Recovery Expert

3 weeks ago


Alameda, California, United States Boost Healthcare Full time
About the Role

We are looking for a talented Claims Recovery Expert to join our team at Boost Healthcare. As a key member of our revenue recovery process, you will be responsible for recovering denied and underpaid claims from commercial and government payers. Your expertise in revenue cycle management and knowledge of billing/collection rules will enable you to identify potential revenue streams and implement effective strategies to optimize client recoveries.

Estimated Salary: $17.45 - $25.81 per hour

Key Responsibilities
  • Follow-up with insurance carriers on underpaid claims by phone
  • Research claim variances in hospital patient accounting systems (EPIC, Meditech, Cerner, Athena)
  • Identify any 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
Requirements
  • 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


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