Payment Recovery Specialist | Angeles Site with 25% Differential Pay

Req ID: 5199

Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a Payment Recovery Specialist who will be working with Connext's Client in the United States of America.

What's in it for you?

• Competitive compensation
• Perfect Attendance Bonus
• Life insurance
• HMO Insurance
• Great company culture
• 25% Night Differential

What is the job?

The Payment Recovery Specialist is responsible in managing denials, underpayments, and escalated payment issues from payers.

Responsibilities:

• Conduct root-cause analysis of denials to identify process improvements.
• Synthesize complex or diverse data and design workflows and procedures.
• Collaborate with team and management on appeals, including drafting letters to payors and follow-up on denials.
• Ensure accounts are paid according to contract guidelines and agreements.
• Use contract matrices to calculate reimbursement accurately.
• Identify and resolve payment issues proactively.
• Process payments and answer related inquiries from internal and external customers.
• Work with billing, operational, and other departments to resolve escalated issues.
• Escalate issues requiring management attention.
• Maintain documentation and reporting for review and continuous improvement.

Qualifications:

• Minimum of 3 years of healthcare clerical or payment recovery experience.
• Experience in Microsoft Office Suite.