Research and identify payment discrepancies from various sources
Compile and analyze data to make recommendations
Work with financial and clinical departments collaboratively
Review contract validation, updates, and interpretation
Resolve underpaid claims in an effective and timely fashion
Analysis of payor policies and exercising and interpretation of impact on reimbursement
Present data and effectively communicate to various levels of end users
Ensure account analysis is validated prior to distribution
Work on multiple projects/initiatives at a time
Maintain applicable continuing education requirements

3-5 years of relevant job experience in the Physicians insurance industry required
Keen understanding of the revenue cycle and opportunity for uncollected revenue required
Demonstrated advanced usage of AI and the management of teams using AI.
CRCR certification within 9 months of hire.

Revenue Recovery Associate Analyst I – Physicians

Key skills