What are the responsibilities and job description for the Revenue Recovery Analyst I *Remote position at Aston Carter?
Description:
- Resolve, call and/or appeal a defined number of accounts per day as instructed by leadership.
- Complete initial reviews as assigned.
- Draft appeals and letters to insurance companies.
- Make proper notations in system on all accounts.
- Understand and utilize payer contracts and provider manuals when disputing denials.
- Calculate expected claim reimbursement.
- Follow up on all appeals, claims, letters or other documentation with the insurer
- Follow up on all payments at the time an overturn is received.
- Demonstrate an understanding of office workflow by completing necessary required fields correctly.
- Use available resources appropriately, including but not limited to training materials, shared drive, team meeting notes, etc.
- Maintain worklist through daily audits and the open task report.
- Ensure that all assigned cases have a follow up and that there are no duplicate follow ups.
- Address all follow ups promptly according to priorities provided by leadership
- Ensure claim and appeal timeframes are met
- Obtain prior approval from a Lead, Supervisor, or Manager for all modifications to a UB-04; including, but not limited to, additions, changes or removals to/from the original claim provided by the facility.
Skills:
medical billing, medicare claims, healthcare reimbursement, healthcare claim, Epic, Claim, quantum, claims resolution, claims follow up
Additional Skills & Qualifications:
- Bachelor's degree from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience.
- 6mo-1 year of medical billing experience
- Proven analytical skills
- High attention to detail
- Willingness to learn
NICE TO HAVES:
- General knowledge of claims forms and Explanation of Benefits forms
- Experience with EMR, Epic or Quantum systems
- Knowledge of Medicare and Medicaid
About Aston Carter:
At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.
Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.
Salary : $45,760
