Revenue Recovery Specialist

Revenue Recovery Specialist - Exact Billing Solutions (EBS) | Lauderdale Lakes, FL Salary: $26.00 - $27.00 per hour Base pay range: $54,080.00/yr - $56,160.00/yr Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies. EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations. As part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self‑funded, founder‑led organization, demonstrating a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and client‑first innovation. About the Role The Revenue Recovery Specialist is responsible for monitoring, analyzing, and appealing outpatient‑based claim payment variances for behavioral healthcare cases with the goal of optimizing revenue recovery, assessing payor agreement compliance, and communicating reimbursement issues to management. Key Responsibilities Use internal data and systems to research delinquent or underpayment accounts, identify and document them, and track and summarize payment variances to determine appropriate actions to be taken. Document appeals of payment variances and reimbursement amounts recovered. Help develop a knowledgebase and understanding of payor regulations or requirements, terms of Single Case Agreements (SCAs), third‑party payor regulations, payment agreements, coverage and benefit plans, coordination of benefits, payment terms, and all other conditions that affect payment. Analyze internal processes, technical system issues, and payor processing/system issues and determine/communicate corrective actions to resolve payment variances. Perform special projects to resolve recovery issues, settle with payors, and optimize revenue recovery. Qualifications Bachelor's degree in Accounting, Business Administration, or another finance‑related area is preferred (or a combination of education and experience resulting in comparable knowledge and abilities). 3+ years in the business, insurance, or managed care industry settling patient accounts or a related healthcare area such as utilization management, case management, or hospital audit and reimbursement. Experience in health‑related agreements involving rate and language analysis, audit and reimbursement, claims denial, and appeals preferred. Knowledge of or willingness to learn fundamentals of coding CPT/HCPCS, ICD‑10, and DRG is preferred. Willingness to submit to drug and background screenings. Benefits 21 paid days off (15 PTO days, increasing with tenure, plus 6 holidays). Flexible Spending Account (FSA) and Health Savings Account (HSA) options. Medical, dental, vision, long‑term disability, and life insurance. Generous 401(k) with up to 6% employer match. Exact Billing Solutions is committed to building a culture of professionalism, accountability, and operational excellence. By hiring individuals with the right blend of expertise, integrity, and client focus, we empower providers to thrive while making the business of healthcare more efficient and sustainable. Join our mission and help transform healthcare billing with precision and purpose! Exact Billing Solutions participates in the U.S. Department of Homeland Security E‑Verify program. Seniority level — Associate Employment type — Full‑time Job function — Administrative Industries — IT Services and IT Consulting Referrals increase your chances of interviewing at Exact Billing Solutions by 2x. #J-18808-Ljbffr