The Revenue Recovery Specialist is responsible for processing and reporting revenue recovery activities, including insured services, stop loss and third-party liability.
Job Duties and Responsibilit...Show moreLast updated: 30+ days ago
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The Revenue Recovery Specialist is responsible for processing and reporting revenue recovery activities, including insured services, stop loss and third-party liability.
Job Duties and Responsibilities :
Reviews and pursues recoveries on all outstanding insured services monthly billings.
Ensures the Insured Service data base is current with billings, and payment files. Produces monthly and adhoc reports
Completes all insured service CERTS as required by United HealthCare and submits for payment
Monitors high-cost cases and bills for stop loss recoveries
Prepares claims listings for third party liabilities recoveries
Education :
High school diploma or GED required. Bachelor's degree in Finance, Accounting or Healthcare Administration preferred.
Experience :
One (1) year experience in healthcare claims, finance or accounting department.