Revenue Recovery Coordinator

Company: Waterbury Hospital
Location: Waterbury
Posted on: May 16, 2020

Job Description:

Combines clinical, business and regulatory knowledge and skill to reduce significant financial risk and exposure caused by concurrent and retrospective denial of payments for services provided. Collaborates with physicians, Case Managers, revenue cycle personnel and payers to appeal denials. Performs activities related to insuring a denial appeals process that includes monitoring for patterns and trends and maximizing reimbursement within regulatory requirements.

-- CT RN License

-- Minimum 5 years of broad clinical experience

-- Graduate nursing program (Diploma/Associates) BSN preferred or actively working towards BSN

-- Proficient in Clinical criteria

-- Knowledge of current reimbursement codes and models: Commercial, Managed Care, Medicare, Medicaid, Public Assistance, coordination of benefits, etc..

-- Strong analytic, data management, and computer skills,

-- Excellent interpersonal communication and negotiation skills with physicians, payers, and

peers.

-- Technical writing ability for appeal letters and reports.

-- Analytical abilities to aggregate and report findings and to assist in obtaining solutions to problems.

-- Must be able to work independently, prioritize work, and meet timelines.

Keywords: Waterbury Hospital, Waterbury , Revenue Recovery Coordinator, Other , Waterbury, Connecticut