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:

Essential Job Duties:

•  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•  Research and update provider records for out-of-date provider information in Recovery internal systems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.

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