Recovery Support Specialist

Under the direction of the team lead, the Recovery Support Specialist will be responsible for supporting the Retrospective Review Recovery team. Tasks and responsibilities will be performed in a fast-paced office environment. This role facilitates external contact through written and verbal communication. You will accomplish this through: Manage daily workload of assigned outgoing provider billing calls, ensuring conversations and information provided via phone call are documented clearly and accurately. Promptly answer incoming Recovery Line calls. Monitor and respond to voicemails in a timely manner. Research and update provider records for out-of-date provider information in Recovery internal systems. Maintain HIPAA compliance, request medical records as needed. Ensure urgent calls are managed with priority, and escalation processes are utilized when necessary. Additional miscellaneous duties and responsibilities may be assigned by your supervisor from time to time. Requirements Skills and Abilities 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. Education and Experience 2-3 years of customer service, preferably receivable/collections experience. Physical Requirements Indoor office environment with moderate noise. Travel is required for on-site client visits approximately 10% of the time. Intermittent physical effort may include lifting up to 25 lbs., walking, stopping, kneeling, crouching, or crawling, which may be required. Frequent sitting, use of a keyboard, reaching with hands and arms, talking and hearing approximately 70% of the time; 30% or less time is spent standing. Normal vision abilities required, including close vision and the ability to adjust focus. #J-18808-Ljbffr Advanced Medical Pricing Solutions