Boost Healthcare is Hiring a Revenue Recovery Specialist - Zero Balance/Underpayment Recovery Near Alameda, CA
Location: 100% remote position, office is headquartered in Alameda, California. What We Do: Boost is a consulting firm focused on helping healthcare providers identify and recover revenue. Our team works with clients to improve overall revenue by recovering denied and underpaid claims from both commercial and government payers. Our retrospective claims review is contingency based with no upfront costs to our clients and utilizes our proprietary system, staff, and resources to recover revenue. Our approach leverages both technology and people, and our findings go straight to our clients’ bottom line. Boost provides our clients with claims data showing payer performance and root cause analysis of denial and underpayment issues to use as leverage when negotiating with payers and assessing their overall business performance. Who We Are: Boost Healthcare is a remote team of 75 employees with a nationwide clientele base lead by Liana Hamilton, founder and managing partner. Our core values are being Trustworthy, Dedicated, Valued, Resourceful, Fun and Inclusive. We prioritize hard work and collaboration among our teams, our clients, and the communities we serve. We place high importance on connection, including face-to-face daily interactions, and make sure to carve out time for play. Boost offers medical, dental, vision, and 401k benefits as well as a flexible schedule and stipends that cover education and wellness. We hope you join our team and grow with us. Position Summary: As a Revenue Recovery Specialist, you will be exposed to the complex reimbursement methodology between hospitals and insurance companies. Recovery specialists work closely with assigned project teams on the specialized retrospective recovery process. You will be exposed to various payers, clients, and systems. This position will investigate claims, follow up with payers, collect the insurance accounts receivable, escalate stalled claims and other related activities that enhance revenue collection for our clients. Primary Duties and Responsibilities:
Follow-up with insurance carriers on underpaid claims by phone; complete follow-up actions as advised
Research claim variances in hospital patient accounting systems (EPIC, Meditech, Cerner, Athena)
Identify any payer specific issues remove barriers to processing claims
Draft appeals to insurance carriers on denied or underpaid claims
Review claim detail including coding, billing, and insurance information for discrepancies
Run claims data through various pricing software
Strives to maintain production, quality and project-based benchmarks
Preferred Qualifications:
High School Diploma or GED required; Bachelor’s degree preferred
Experience in the revenue cycle or healthcare finance related field required
Demonstrated knowledge of billing/collection rules, regulations, systems, and databases
Critical thinking skills, analytical skills, and financial acumen
Strong Initiative, detail oriented
Creative problem-solving skills
Professional interpersonal and communication skills
Team-oriented and flexible
Compensation:
Base salary range USD $36,300 - $53,700 annually
Benefits:
Medical, dental, vision, 401k matching
Generous Paid Time Off (PTO) plan
Education and wellness stipends
Paid holidays
Performance-based bonus opportunities
Employee referral incentive
Flexible working environment
Working Conditions:
Remote opportunity with an office in Alameda, CA that fosters a culture of collaboration and flexibility
Base download/upload internet speed of at least 35Mbps - HOT SPOT INTERNET IS NOT ACCEPTABLE
Private and quiet, dedicated space to work
Essential equipment will be provided by Boost Healthcare
Candidate must reside in: AZ, FL, GA, IL, MA, MN, OH, OR, PA, SC, or TX
Boost Healthcare is an Equal Opportunity Employer. Offers of employment are contingent on successful completion of background check. Powered by JazzHR Ncxas8mdi2