Hospital Claim Resolution Specialist

Knowtion Health • Full-time • Remote (United States) • $17 / hour • 2d ago

Job Summary:

A Hospital Claim Resolution Specialist, known at Knowtion Health as a Specialist I, Revenue Recovery effectively and consistently generates revenue through professional billing practices, using proper and ethical collection efforts. Knowtion Health works as an ambassador on behalf of patients to resolve outstanding hospital bills and never collects monies from patients. In addition to drafting appeals, Specialists must demonstrate proficient use of web-based client and payer portals along with notation databases. This position is remote.

Join us at Knowtion Health as a member of our Revenue Recovery team!

What We Offer:

100% Remote Work: Embrace flexibility and say goodbye to commutes.
Full Benefits: Comprehensive health, dental, and wellness plans because your wellbeing is important.
Growth Opportunities: Knowtion Health is a continuously growing 3rd party Hospital Revenue Cycle Management company providing promotion opportunities for those both interested and qualified.

Who We Need:

Someone with:
A high level of professionalism
Adherence to all debt collection rules and regulations
Adherence to HIPAA requirements
Moderate computer proficiency including working knowledge of MS Excel, Word, and Outlook
Organization and documentation skills to ensure timely follow-up and accurate record keeping
Mathematical ability to calculate rates using addition, subtraction, multiplication, and division
Familiarity with CPT, ICD coding preferred

Your Role Will Involve:

Using the Artiva workflow management system, follow up on patient bills and claims to recover revenue from the responsible business entity. Depending on the department, the business entities may include any or all the following: commercial health insurance, governmental insurance, veteran’s benefits, third party administrators, attorneys, motor vehicle carriers, employers and worker’s compensation carriers
Analyze information to identify root cause of denied or unpaid claim and determine next steps
Pursue & obtain information needed to overturn claim denials, including patient & responsible party information, medical necessity, employer information, accident information
Ensure appropriate timely filing guidelines are met for maximum reimbursement
Escalate complex, complicated, or challenging accounts to management to ensure accounts are progressing effectively
Identify and discuss root cause issues with management

Compensation:

The pay range for this position starts at $17/hr and increases depending on experience and qualifications.

Are You Ready? If you have a knack for details, a passion for patient advocacy, and a desire to make a significant impact in a fun and fast-paced environment, we would love to meet you!

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, paid holidays, 401k, and a generous PTO policy.

Knowtion Health gives priority to applicants located in the following states: AR, AL, AZ, FL, GA, IL, KS, KY, MD, MA, MN, NC, OH, OK, PA, SC, TN, TX, WV, VA