The Revenue Recovery Specialist is responsible for processing and reporting revenue recovery activities, including insured services, stop loss and third-party liability.

• Reviews and pursues recoveries on all outstanding insured services monthly billings.
• Ensures the Insured Service data base is current with billings, and payment files. Produces monthly and adhoc reports
• Completes all insured service CERTS as required by United HealthCare and submits for payment
• Monitors high-cost cases and bills for stop loss recoveries
• Prepares claims listings for third party liabilities recoveries

Education:

High school diploma or GED required. Bachelor's degree in Finance, Accounting or Healthcare Administration preferred.

Experience:

One (1) year experience in healthcare claims, finance or accounting department.