Payment Recovery Specialist is responsible for analysis of denied reimbursement claims. Ensures appropriate insurance coverage for compliance standards and revenue generation. Being a Payment Recovery Specialist monitors, evaluates, and reviews all cost reporting in support of claims. Coordinates with departments and insurance companies to correct errors as necessary. Additionally, Payment Recovery Specialist requires a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. To be a Payment Recovery Specialist typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Position Summary :
Provide experience, education and professional services to assist and support individuals in developing and / or maintaining recovery-oriented, wellness-focused lifestyles.
Qualifications :
EDUCATIONAL REQUIREMENTS
Certificate in CPRS Certification Once Eligible
EXPERIENCE REQUIREMENTS
Lived experience in Recovery
ADDITIONAL REQUIREMENTS
SKILLS AND KNOWLEDGE
Required English Skills Advanced reading skills Advanced writing skills Advanced oral skills Communication Skills Ability to respond appropriately to customer / co-worker Interaction with a wide variety of people Maintain confidential information Ability to communicate only the facts to recipients or to decline to reveal information Ability to project a professional, friendly, helpful demeanor Computer Skills Basic computer knowledge : Uses word processing, spreadsheet, e-mail application, and web browser.
Comfortable within a Windows OS and learning new applications.
Essential Functions :
Patient care is provided in a compassionate, humane, and non-enabling manner.* Participates in interdisciplinary clinical staffing or ensures pertinent information is provided to team* Demonstrates Motivational Interviewing skills when working with patients.
Last updated : 2024-03-04
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