Provider Recoupments Manager
Devoted Health
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $76,000 - $120,000 per year
Job Level
Mid-LevelSenior
About the role
- Lead the Provider Recoupment function, overseeing the end-to-end lifecycle of overpayment recovery, from notification and validation to offset or collection.
- Oversee day-to-day operations for provider overpayments, overseeing the end-to-end lifecycle of overpayment recovery, from notification and validation to offset or collection as well as the processing of unsolicited refunds.
- Develop and execute a strategic plan to maximize recovery yield, reduce the aging of negative provider balances, and minimize "write-offs" due to uncollectible debt.
- Partner with Payment Integrity and Claims leadership to provide feedback loops on the root causes of overpayments, helping to prevent leakage before it occurs.
- Partner with Finance and Accounting to ensure accurate reconciliation of recouped funds, proper allocation to the general ledger, and precise financial reporting that is auditable.
- Collaborate with the Disputes and Appeals team to pause or adjust recoupment activities when a provider formally contests a finding.
- Develop clear provider communications and FAQ resources regarding the refund and offset process to reduce confusion and inbound call volume.
- Use data analytics to identify trends in unrecoverable balances and drive improvements in how we prioritize collection efforts.
- Lead continuous improvement initiatives to clear historical backlogs of negative balances and improve the speed of financial reconciliation.
Requirements
- Experience in healthcare technology or finance
- Demonstrated ability to manage financial operations and drive collections while maintaining professional provider relationships.
- Experience with leveraging analytics and critical thinking to digest complex quantitative information, produce rigorous insights, design & implement operational models based on those insights, & develop appropriate analytics to measure success
- Bachelor’s degree required; focus in Finance, Healthcare Administration, or Business preferred.
Benefits
- Employer sponsored health, dental and vision plan with low or no premium
- Generous paid time off
- $100 monthly mobile or internet stipend
- Stock options for all employees
- Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
- Parental leave program
- 401K program
- And more....
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analyticsfinancial operationsoverpayment recoverycollections managementfinancial reconciliationoperational modelsquantitative analysisstrategic planningnegative balance managementwrite-off reduction
Soft skills
leadershipcollaborationcommunicationcritical thinkingproblem-solvingrelationship managementcontinuous improvementfeedback provisionstrategic executionconflict resolution
Certifications
Bachelor’s degree