Revenue Recovery Appeal Assistant

Job description

Department: 10488 Enterprise Revenue Cycle - Admin: Cash Operations Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Mon-Fri Pay Range: $25.30 - $37.95 Major Responsibilities: - Update financial and audit tracking systems with the financial outcomes for all government and non-government payer audits that are captured. Reconcile financial data in billing systems (Epic, Allegra, Star, Cerner, IDX), Enter financial outcomes for each pertinent case in the audit tracking database, Update missing and/or incorrect fields in the audit tracking database. - Reconcile financial and audit tracking systems when payments or denials are received, Communicate to appropriate billing team to complete a Part A to Part B rebill. - Monitor and investigate all automated RAC (RAC-A) denials as well as automated RAC denials for other governmental claims. Review and obtain all pertinent medical record documentation needed for responding for initial audit, Discussion, and Appeal requests. - Identify automated RAC denials via Medicare remittance data or other automated process (FISS), NGS Connex. Review automated RAC denial for validity. Collaborate with D...