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    Revenue Recovery Specialist - Alameda, United States - Boost Healthcare

    Boost Healthcare
    Boost Healthcare Alameda, United States

    4 weeks ago

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    Description
    Location:

    100% remote position, office is headquartered in Alameda, California.

    What We Do:
    Boost is a consulting firm focused on helping healthcare providers identify and recover revenue.

    Our team works with clients to improve overall revenue by recovering denied and underpaid claims from both commercial and government payers.

    Our retrospective claims review is contingency based with no upfront costs to our clients and utilizes our proprietary system, staff, and resources to recover revenue.

    Our approach leverages both technology and people, and our findings go straight to our clients' bottom line.

    Boost provides our clients with claims data showing payer performance and root cause analysis of denial and underpayment issues to use as leverage when negotiating with payers and assessing their overall business performance.


    Who We Are:

    Boost Healthcare is a remote team of 75 employees located in AZ, FL, GA, IL, MN, OH, OR, PA, SC, TX, and WA with a nationwide clientele base lead by Liana Hamilton, founder and managing partner.

    Our core values are being Trustworthy, Dedicated, Valued, Resourceful, Fun and Inclusive. We prioritize hard work and collaboration among our teams, our clients, and the communities we serve. We place high importance on connection, including face-to-face daily interactions, and make sure to carve out time for play.

    Boost offers medical, dental, vision, and 401k benefits as well as a flexible schedule and stipends that cover education and wellness.

    We hope you join our team and grow with us.


    Position Summary:
    As a Revenue Recovery Specialist, you will be exposed to the complex reimbursement methodology between hospitals and insurance companies. Recovery specialists work closely with assigned project teams on the specialized retrospective recovery process. You will be exposed to various payers, clients, and systems.

    This position will investigate claims, follow up with payers, collect the insurance accounts receivable, escalate stalled claims and other related activities that enhance revenue collection for our clients.


    Primary Duties and Responsibilities:
    Follow-up with insurance carriers on underpaid claims by phone; complete follow-up actions as advisedResearch claim variances in hospital patient accounting systems (EPIC, Meditech, Cerner, Athena)

    Identify any payer specific issues remove barriers to processing claimsDraft appeals to insurance carriers on denied or underpaid claimsReview claim detail including coding, billing, and insurance information for discrepanciesRun claims data through various pricing softwareStrives to maintain production, quality and project-based benchmarksPreferred Qualifications:
    High School Diploma or GED required; Bachelor's degree preferredExperience in the revenue cycle or healthcare finance related field requiredDemonstrated knowledge of billing/collection rules, regulations, systems, and databasesCritical thinking skills, analytical skills, and financial acumenStrong Initiative, detail orientedCreative problem-solving skillsProfessional interpersonal and communication skillsTeam-oriented and flexibleCompensation:Base salary rangeUSD $36,300 - $53,700 annuallyBenefits :Medical, dental, vision, 401k + matchingGenerous Paid Time Off (PTO) planEducation and wellness stipendsPaid holidaysPerformance-based bonus opportunitiesEmployee referral incentiveFlexible working environment

    Working Conditions:

    Remote opportunity with an office in Alameda, CA that fosters a culture of collaboration and flexibilityBase download/upload internet speed of at least 35Mbps - HOT SPOT INTERNET IS NOT ACCEPTABLE.

    Private and quiet, dedicated space to workEssential equipment will be provided by Boost HealthcareCandidate must reside in:
    AZ, FL, GA, IL,MN, OH, OR, PA, SC, TX, orWA#LI-Remote

    Boost Healthcare is an Equal Opportunity Employer. Offers of employment are contingent on successful completion of background check.

    #J-18808-Ljbffr

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