Revenue Recovery Specialist, Complex Claims

Are you seeking an exciting opportunity to join a passionate, growing, and dynamic team of professionals who support patients?

Knowtion Health is hiring for several Revenue Recovery Specialist roles for our Complex Claims teams in Workers Compensation and MVA.

A Workers Comp Recovery Specialist is responsible for evaluating referred accounts to confirm they fall under the WC guidelines for the various states handled and will review account information to identify the responsible payer, assure the bill and records are received by the payer within the allowed timelines, and confirm the payment is correct.

An MVA Revenue Recovery Specialist, MVA, is responsible for resolving motor vehicle and health insurance claims from a variety of hospital providers, including facility and physician bills.

What’s Attractive to the Right Candidate?

Knowtion Health is a growing firm in a growing industry. Our status as a leader in this industry means that we have the resources to invest in the business and to innovate.

Our business is intensely competitive and is constantly evolving. We quickly identify new challenges and develop solutions, so you won’t simply be doing what was done last year. Our new employees are frequently pleased and surprised by how quickly we make decisions and adapt to market conditions.

Knowtion Health culture is inviting and competitive, embracing challenge and celebrating accomplishment; dedicated colleagues striving to provide quality results that have lasting impact.

The Opportunity:

Manage an inventory of accounts in a team-based environment for medical payments, third-party liability, and health benefits coverage to include:

New and priority accounts to be worked within client specified protocols, including coverage investigation.

Aged and high dollar accounts to be worked as necessary to ensure efficient recovery.

Accounts that require substantive review by the coding and utilization departments.

Accounts that require lien submissions.

Identify and resolve accounts with multiple payers (PIP, Health, TPL) involved.

Prepare and submit appeals with required documentation in a timely manner.

Use professional notation that is clear, concise and comprehensive throughout the complex account resolution process.

What you bring:

High school diploma or GED.

One of the following:

1 to 3 years of experience with MVA and Medicare claims; or

1 to 3 years of experience handling Workers’ Compensation bills

Proven experience in hospital revenue cycle or insurance claim processing

Proven results in collecting on hospital claims

Experience with EPIC preferred.

Experience with Microsoft Word and Excel preferred.

The above statements are intended to provide the general nature and level of work being performed by most people assigned to the position. They are not intended to be an exhaustive list of all responsibilities, duties and requirements.

This position is remote and requires a dedicated, distraction-free work space at home. We offer a competitive benefits package including medical, dental, vision, life insurance, short term disability, long term disability, bonus opportunities, paid holidays, 401k, and a generous PTO policy.

Knowtion Health gives priority to applicants located in the following states: AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, VA, WI, WV

Photo Identification and Image Capture Notice

As part of our hiring process, candidates are required to present a valid government-issued photo ID during screening and/or interviews.

We may also capture a photograph during the screening or interview process for identity verification, security, and record-keeping purposes. All identification documents and images will be handled in accordance with applicable privacy laws and accessed only by authorized personnel.

By proceeding with your application, you acknowledge and consent to this process.