Recovery Support Specialist

Supports the Retrospective Review Recovery team with external contact, managing daily workload, researching and updating provider records, and maintaining HIPAA compliance.

Requirements

• Familiarity with medical claims, billing, and payment
• Knowledge of procedure codes and billing (CPT/HCPCS, ICD-10, etc)
• Knowledge of medical terminology, medical record review, and claim reimbursement
• Strong organizational, verbal, and written communication skills
• Experience in appeals, denial or rejection analysis
• Meticulous with the ability to prioritize and perform multiple tasks across systems
• Proficient in Word, Excel, and Windows-based systems
• 2-3 years of customer service, preferably receivable/collections experience