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Revenue Recovery Associate
PMB Precision Medical Billing, Inc.Revenue Recovery Associate responsible for outstanding medical claims. Working with healthcare providers to ensure accurate patient/client billing and compliance with regulations.
About the role
Key responsibilities & impact- Revenue Recovery Associates are responsible for keeping AR within acceptable limits by aggressively following up on all outstanding claims including resolving denials, appealing claims for additional payment, ensuring patient/client billing information in the provided software is accurate.
- Provide effective communication amongst all team members regarding claim creation errors and/or trends regarding reasons for denials or outstanding claims.
- Ensure accurate submission of client claims
- Distribute billing reports weekly to all clients
- Review daily collections and monthly reporting, as well as recommendations for billing audits
- Monitor and follow up on progress of submitted claims and paperwork
- Identify lost revenue through AR cleanup/follow up
- Verify accuracy of data, compile data and translate information into multiple formats
- Identify and recommend potential revenue challenges to maximize reimbursements within the terms of the facility agreements
- Other job duties as assigned
Requirements
What you’ll need- High School Diploma
- 2-3 years of medical billing or insurance experience required
- Understanding of office applications, including MS Office (Word, Excel, Outlook)
- Home Health RCM Experience needed
- Minimum of 1-2 years of home health or hospice billing experience (preferred)
- Knowledge of Medicare, Medicaid, commercial insurance and Medicare Advantage billing
- Ability to verify patient insurance eligibility and benefits
- Knowledge of Medicare NOA/NOE and final claim processes
- Understanding and Knowledge of Authorizations
- Experience with EVV (preferred)
Benefits
Comp & perks- This is a contract position and is not eligible for company-sponsored employee benefits.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Claim SubmissionRevenue RecoveryBilling AuditsData CompilationInsurance Eligibility Verification
Soft Skills
Effective CommunicationTeam Collaboration