Full Time
Allergy Partners PLLC
Remote
POSITION: Revenue Recovery Analyst
RESPONSIBLE TO: Director of Revenue Cycle Management
JOB SUMMARY: The Revenue Recovery Analyst is responsible for identifying, analyzing, and resolving discrepancies in insurance payments to ensure accurate reimbursement and maintain the organization's revenue integrity objectives. This role involves both targeted recovery initiatives for specific accounts and comprehensive analytics at the population level to detect patterns of underpayment and overpayment, ensure compliance with contracts, and facilitate proactive measures to prevent revenue loss.
RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:
Identify and resolve underpayments and overpayments across government and commercial payers.
Perform detailed account reviews comparing expected vs. actual reimbursement.
Initiate and manage payer appeals and refund processes in accordance with regulatory requirements.
Track and...