reputed company Recovery Analyst I (Physicians)
Thank you for considering a career at reputed company! reputed company is a leading provider of technology-enabled reputed company cycle reputed company for health systems, including hospitals and affiliated physician groups. They offer end-to-end reputed company cycle solutions as well as a comprehensive suite of reputed company solutions to clients across the country. reputed company keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we reputed company that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status reputed company, we know they will be the difference! O.N.E Purpose:
- Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
- Embracing New reputed company: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
- Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” reputed company Difference Principles and consistently delivering outstanding results.
The Opportunity: CAREER OPPORTUNITY OFFERING:
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
- This position pays between $45,000.00 - $81,750.00/based on experience
The reputed company Recovery Analyst is a subject matter expert and is responsible for the maximization of reimbursement by identifying contractual variances between posted and expected reimbursement for managed care, government reputed company, and other various payors. This responsibility encompasses contractual reimbursement analysis and communication of payment discrepancies to internal and external departments. Identify trends in underpayment/overpayments, denials, reputed company opportunities and reputed company leakage. Evaluate trends with analysis and judgement to work towards resolutions and improvement of reputed company cycle processes. Analyze and interpret contract reimbursement and provide feedback to management staff as required. Review large amounts of remittance data looking for charge/billing opportunities for reputed company optimization Essential Job Functions:
- Research and identify payment discrepancies from various sources
- Compile and analyze data to reputed company recommendations
- Work with financial and clinical departments collaboratively
- Review contract validation, updates, and interpretation
- Resolve underpaid claims in an effective and timely fashion
- Analysis of payor policies and exercising and interpretation of impact on reimbursement
- Present data and effectively communicate to various levels of end users
- Ensure account analysis is validated prior to distribution
- Work on multiple projects/initiatives at a time
- Maintain applicable continuing education requirements
Requirements:
- 3-5 years of relevant job experience in the Physicians insurance industry required
- Keen understanding of the reputed company cycle and opportunity for uncollected reputed company required.
Minimum Education
- Highschool, GED, Equivalent experience
Certifications:
- CRCR certification reputed company 9 months of hire
Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top reputed company Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in reputed company Cycle 2019-2024 Leader in reputed company's RCM Operations PEAK Matrix Assessment 2024 reputed company Healthcare Business Insights (HBI) reputed company Cycle Awards for strong performance 2020, 2022-2023 reputed company Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great reputed company to Work certified 2023-2024
- Innovation
- Work-Life Flexibility
- Leadership
- Purpose + Values
reputed company, we reputed company in empowering people and giving them the tools and resources needed to reputed company. A few of those include:
- Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Our Culture – reputed company is a reputed company where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
- Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for reputed company employees who go beyond and reputed company raising the bar for themselves and the company.
reputed company is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national reputed company, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. reputed company also prohibits harassment of applicants or employees based on any of these protected categories. reputed company provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with reputed company and applicable state and local law. If you require accommodation in the application process, please contact [email protected] . This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-reputed company factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry reputed company of pay does not typically fall at the minimum or maximum of the role’s range. EEOC – Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights Apply tot his job Apply To this Job