REVENUE RECOVERY SPECIALIST

Hiring Department

University Physicians - Payment Services

Job Description

#upjobs

Denials review and analysis: Utilize a combination of payer policies/contract guidelines, knowledge in CPT coding and analysis of medical records to formulate reconsiderations/appeals to payers leading to positive outcome for revenue recovery.
Identify and communicate trending denials/reimbursement issues to Leadership and Managed Care Department for further escalation with payers to recover revenue in a timely manner.
Perform root cause analysis of denials utilizing multiple systems to identify broken internal revenue cycle processes and future solutions to maximize revenue for billed services.
Identify and communicate trending internal billing issues due to payer contract/reimbursement guidelines to Leadership to establish correct billing in compliance with payer.
Special projects as assigned (ex: trending denial root cause analysis, pre-billing tasks as needed, aging AR analysis, etc.)

Salary

Salary Range: $22.00-$34.74 hourly

Grade: PAT-007

University Title: REVENUE RECOVERY SPECIALIST

Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

Shift

Monday – Friday

8:00 a.m. – 5:00 p.m.

Minimum Qualifications

A bachelor’s degree in Accounting, Business Administration, Finance, Health Related Professions, Nursing or an equivalent combination of education and experience from which comparable knowledge and abilities can be obtained is required.

Minimum of three years experience in business acumen, insurance or managed care industry, hospital patient accounts or a related health-care area such as utilization management, case management or hospital audit and reimbursement is required.

Experience in health related contractual analysis involving rate and language analysis, audit and reimbursement, claims denial and appeals experience is preferred.

Knowledge of or willingness to learn fundamentals of coding CPT/HCPCS, ICD-9 and/or ICD-10, DRG’s and APC’s is perferred.

Application Materials

In addition to the Online Application, please provide a Cover Letter and Resume.

Benefit Eligibility

This position is eligible for University benefits. The University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, and educational fee discounts. For additional information on University benefits, please visit the Faculty & Staff Benefits website at http://www.umsystem.edu/totalrewards/benefits

Values Commitment

We value the uniqueness of every individual and strive to ensure each person’s success. Contributions from individuals with diverse backgrounds, experiences and perspectives promote intellectual pluralism and enable us to achieve the excellence that we seek in learning, research and engagement. This commitment makes our university a better place to work, learn and innovate.

In your application materials, please discuss your experiences and expertise that support these values and enrich our missions of teaching, research and engagement.

Equal Employment Opportunity

Equal Opportunity is and shall be provided for all employees and applicants for employment on the basis of their demonstrated ability and competence without unlawful discrimination on the basis of their race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, age, disability, protected veteran status, or any other status protected by applicable state or federal law. This policy shall not be interpreted in such a manner as to violate the legal rights of religious organizations or the recruiting rights of military organizations associated with the Armed Forces or the Department of Homeland Security of the United States of America. For more information, call the Director of Employee and Labor Relations at 573-882-7976.

To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.

Know Your Rights

To read more about Equal Employment Opportunity (EEO) please use the following links:

• Know Your Rights English Version
• Know Your Rights Spanish Version

Vaccination Statement

After careful consideration of COVID-19 virus trends and the overwhelming evidence of COVID-19 vaccine safety and effectiveness, the School of Medicine, along with MU Health Care, the Sinclair School of Nursing and the School of Health Professions, recently announced the decision to require COVID-19 vaccinations by Oct. 1, 2021, for all employees, unless granted a medical or religious exemption.

All new hires will be required to submit proof of vaccination prior to your start date. If you would like to request a medical or religious exemption, you must do so upon acceptance of employment so our team has time to review prior to your scheduled start date. You will not be allowed to begin work until you have submitted proof of vaccination or received an approved medical or religious exemption.

Thank you for helping us to create the safest environment possible for our colleagues, students and our patients by protecting yourself and others through COVID-19 vaccination.

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