Revenue Recovery Specialist

Join Our Team as a Revenue Recovery Specialist!

Are you ready to make a difference in a dynamic nonprofit organization? We're looking for a passionate and detail-oriented Revenue Recovery Specialist to lead our efforts in managing and recovering outstanding revenue within our Revenue Cycle Department. In this pivotal role, you'll handle claim follow-ups, appeal submissions, payment collections, and billing discrepancies, ensuring timely and accurate data management.

You'll be the key communicator, liaising with internal teams, patients, and insurance providers to resolve outstanding balances while delivering exceptional customer service. If you have strong organizational, communication, and problem-solving skills, along with experience in billing and collections, we want you on our team!

This is a hybrid remote position with required in-office days, subject to policy changes. Apply now and be part of a mission-driven organization that values your expertise and dedication!

Why Join Us?

At Janus, founded in 1976, we are committed to providing exceptional treatment services in a professional and compassionate environment. As a Revenue Recovery Specialist, you will play a crucial role in our Revenue Cycle Department, ensuring the collection and recovery of outstanding revenue. Lead with compassion, collaborate with a multi-disciplinary team, and maintain meticulous financial documentation.

What We Are:

• A Dynamic Work Environment: Thrive in a vibrant setting where your expertise will shine, and you will provide extraordinary support to our team and community.
• A Culture of Excellence: We are dedicated to hiring top talent and fostering a culture based on merit, welcoming, accepting, and valuing everyone.
• A Mission-Driven Role: Join us in our exciting mission to assist individuals and families on their journey toward wellness and recovery. Our clients’ well-being inspires everything we do.

Key Responsibilities:

• Compliance Maintenance: Ensure the Revenue Cycle Department adheres to the organization’s practices and local, state, and federal regulations.
• Claim Management: Efficiently manage and organize the posting of electronic third-party insurance denials, non-pay claims, and delinquent client payments.
• Follow-Up: Perform follow-up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports.
• Trend Identification: Identify trends and carrier issues relating to billing and reimbursements, report findings to RCM, and independently track such findings.
• Appeal Processing: Process appeals online or via paper submission and engage in proper follow-up for all claims processed.
• Collaboration: Work with QI/Compliance staff to submit medical report requests to ensure payment of claims.
• Refund Processing: Handle refund and insurance overpayment requests and communicate issues with this to RCM.
• Customer Service: Answer/respond to correspondence and calls related to patient accounts, and be available to answer billing inquiries by patients, staff, and third-party insurances during standard business hours of 9-5pm.
• Teamwork: Promote effective working relations and work as part of a team to facilitate the department’s ability to meet its goals and objectives across the entire organization.
• Professional Environment: Demonstrate respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
• Goal Achievement: Assist in meeting or exceeding Revenue Cycle Department goals as established by the RCM.

Join Us Today!

Be part of our exciting mission to transform lives and inspire hope. Visit us at www.janussc.org to learn more and apply.

Pay & Benefits

At Janus, base salary is one part of our total compensation package and is determined within a range. This provides the opportunity to progress as you grow and develop within a role. The base pay range for this role is between $26.00 and $30.00 per

hour and your base pay will be considered on your job-related skills, training, qualifications, experience, and relevant education.

What We Offer:

• Amazing Benefits: Enjoy comprehensive medical, dental, and vision coverage, 12 paid holidays, retirement benefits, no-cost mental health counseling services, and 12 paid sick days per year!
• Impactful Work: Be at the forefront of transforming lives and communities.
• Collaborative Environment: Work with a dedicated team of professionals committed to holistic care and rehabilitation.
• Professional Growth: Seize opportunities to attend, participate, and speak at local and state-level meetings, events, conferences, and training.
• Supportive Culture: Thrive in a workplace that values your contributions and supports your professional development

As part of our team, you'll frequently move equipment weighing up to 25 pounds, ensuring everything is in the right place for our various needs. You'll also have the opportunity to stay active by occasionally moving around the office to access file cabinets, office machinery, and more.

Janus of Santa Cruz maintains and promotes a working environment free from discrimination and harassment; and provides all current and prospective employees with equal opportunity in employment regardless of race, creed, color, national origin, ancestry, religion, disability, medical condition, sex, gender identity, physical characteristics, marital status, age, sexual orientation, organizational affiliation, veteran status, or past justice related situations.