What are the responsibilities and job description for the Recovery Resolution Specialist (Full Time) - Financial Services position at Kingman Regional Medical Center?
Unlock your potential for professional development! We are hiring a Recovery Resolution Specialist to join our Finance team!
Located in northwest Arizona, Kingman has a mild climate with stunning Arizona sunsets! In the shadows of beautiful mountain ranges and nearby lakes, Kingman is an outdoor enthusiasts' paradise with abundant sunshine and is a great community to live, work and play!
Benefits (Full Time Employees) We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities:
- Exceptional Colleagues
- Join us and you'll be a part of a culture where we support each other and celebrate what makes each of us a special person as we work together with integrity, compassion, teamwork, respect, and accountability.
- Our leaders demonstrate their commitment by gathering feedback, supporting, and empowering team members to do their best work through regular leadership rounding.
- Health and Well-Being
- Medical, Dental, Vision, Employer Paid HSA for HDHP participants, Robust Wellness and Employee Assistance Program, Employer Paid Group Life, Short & Long-Term Disability
- Generous Paid Leave Accruals
- 403b Pension Plan with Employer Contributions
- Employee Recognition Programs, Employee Discounts, and Employee Referral Bonus Program
- Employee Identity Theft Protection
- On-site daycare exclusive to our employees’ children of all ages
- Career Growth and Development
- Tuition Reimbursement/Scholarships for full-time employees
- As a not-for-profit organization, our employees who have qualified student loans may be eligible for the Public Service Loan Forgiveness program
- So much more!
Key Responsibilities:
The Recovery Specialist reviews Health Insurance claim reimbursement to insure that the hospital is maximizing recoveries. This position applies claims processing knowledge in conjunction with the current contracts and processes to identify inappropriate claims payments. This includes interpreting and entry of facility/provider contracts into the hospitals expected reimbursement software and auditing the claims against the contracts to ensure accurate audit results.
Minimum Requirements:
- Education: High school graduate or equivalent
- Experience : Experience in a Hospital or Physician’s office related to billing and/or reimbursement.
Skills/Knowledge: Must have a passion for solving complex medical claim reimbursement problems. Must be an independent thinker with a great attention to detail. Ability to communicate effectively with others and must be a self-disciplined team member that enjoys working in a collaborative environment. Ability to multitask, set priorities and meet deadlines. Knowledge of CPT /ICD coding, reimbursement analysis, good verbal and written skills. Knowledge of health insurance plan provisions to include commercial and governmental plans, hospital charging methodology, revenue codes, billing rules and regulations.
Facility Profile:
Kingman Regional Medical Center is the largest healthcare provider and the only remaining not-for-profit hospital in Mohave County, Arizona. As a 235-bed multi-campus healthcare system, our medical center includes more than 1,900 employees, 270 physicians/allied health professionals, and 150 volunteers. Kingman Regional Medical Center is recognized as an innovator in rural healthcare, and a teaching hospital. We provide a full-continuum of highly-technical and specialized medical services to meet the healthcare needs of our community.
