Revenue Recovery Appeals Analyst
Skills
AppealsBilling SystemsConnexDatabasesFinanceFinancial SystemsMedicare
What the job involves
The main requirements, responsibilities and hiring steps.
Requirements
- High School Graduate or equivalent
- 3 years of experience in hospital/physician coding revenue cycle payer contracting billing/collections or database management
- Knowledge of electronic health record and revenue cycle systems
- Knowledge of hospital and physician group revenue cycle operations and systems
- Demonstrated knowledge of regulatory audit process
- Effective written and verbal communication skills
- Ability to work well within a team atmosphere
- Self-motivation
- Knowledge of hospital reimbursement hospital managed care contracts and government payer reimbursement regulations
- Knowledge and experience using hospital clinical systems and Microsoft applications
- Knowledge of hospital coding HCPCS CPT Revenue Codes DRGs and hospital charge description masters CDMs
- Ability to operate scanner copier and fax
- Must comply with AAH Remote work policy
Nice to have
- Remote work
- Team oriented
- Self-motivated
- Detail oriented
Day to day
- Update financial and audit tracking systems with audit outcomes for government and non-government payer cases.
- Reconcile billing and financial data across multiple revenue cycle systems and investigate denials or payments.
- Prepare appeals supporting documentation and monitor claims through resolution while communicating with teams and leadership.