Recovery Support Specialist

Job Description

Job Description

Description:

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.

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• Research and update provider records for out-of-date provider information in Recovery internal systems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