Revenue Recovery Specialist, WC

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

This Workers Comp Revenue Recovery Specialist is responsible for evaluating referred accounts to confirm they fall under the WC guidelines for the various states handled. A Worker's Comp Recovery Specialist 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. For unpaid or underpaid bills, the Representative will submit appeals to collect correct payment. This position will focus on workers compensation claims for the state of Maine.

What's Attractive to the Right Candidate?

• RSource 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.
• RSource 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 from multiple clients with a variety of accounts with complex issues, such as:
• • New and priority accounts to be worked within 48 business hours
  • Aged and high dollar accounts to be worked as necessary to ensure efficient revenue cycle recovery
  • Accounts that require substantive review by the coding and utilization departments
• Prepare and submit appeals with required documentation in a timely manner
• Identify and resolve any outstanding issues causing delay or non-payment of bills
• Use professional notation that is clear, concise and comprehensive throughout the complex account resolution process
• Maintain professional relationships and communication with patients, employers, and payer representatives
• Learn and implement client specific protocols and procedures
• Demonstrate proficiency with web portals, client systems, and databases as necessary to document and resolve accounts
• Identify recent payer resolution trends and relay them to peers

What you bring:

• High school diploma or GED
• 1 year experience and knowledge of Workers' Comp processes
• Experience with Microsoft Word and Excel preferred
• Effective written and verbal communication skills

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.

Applicants must be located in the contiguous Unites States

PI181669929