A Revenue Recovery Specialist is responsible for researching and analyzing accounts for assigned clients, and payers, and to diagnose reasons for underpayment/non-payment of claims. The job description entails evaluating appropriate actions needed for correcting the account and maintaining track of all identified issues and errors. Job duties found on the Revenue Recovery Specialist Resume are – serving as a role model, mentor, advocate, and motivator to recovering individuals and to help prevent relapse and promote long-term recovery; maintaining project logs, reports, and records in appropriate files and databases, providing recovery education to service recipients for every phase of recovery journey from pre-recovery engagement, providing a model for both people in recovery and staff, assisting recovering persons to identify their interests, and goals; and promoting self-advocacy among recovering persons.
Apart from possessing a degree in relevant fields, a keen understanding of the revenue cycle and opportunity for uncollected revenue is desired. Other traits include the following – excellent analytical skills, exemplary attention to detail, critical thinking skills, excellent verbal and written communication skills, aptitude for and the ability to adapt to multiple software systems, and integrity.
Objective : Dynamic Revenue Recovery Specialist with 2 years of hands-on experience in optimizing revenue cycles and enhancing collections processes. Adept at analyzing accounts, resolving discrepancies, and collaborating with insurance providers to ensure timely reimbursements. Committed to leveraging analytical skills and industry knowledge to drive financial success and improve operational efficiency.
Collected and analyzed monthly revenue metrics to identify trends and areas for improvement in the recovery process.
Conducted thorough reviews of accounts to ensure accurate and timely billing and collections.
Collaborated with internal teams to develop effective strategies for revenue recovery.
Maintained compliance with all relevant regulations and industry standards in financial reporting.
Coordinated with insurance companies to resolve claim denials and expedite payments.
Developed and implemented training materials for new staff on best practices in revenue recovery.
Monitored key performance indicators to assess the effectiveness of recovery initiatives.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Revenue Recovery Specialist I Resume
Objective : Dedicated Revenue Recovery Specialist with 2 years of experience in managing accounts receivable and optimizing collection processes. Skilled in conducting thorough account analyses, resolving billing discrepancies, and collaborating effectively with insurance providers. Eager to apply analytical expertise and a proactive approach to enhance revenue recovery and contribute to financial performance.
Managed accounts receivable for a multi-specialty surgery center, ensuring timely payments and accurate documentation.
Conducted detailed reviews of patient accounts to identify payment trends and discrepancies.
Prepared account information for executive review, facilitating decision-making on collections.
Coordinated with legal representatives to gather necessary documentation for collections and court appearances.
Performed insurance verifications and informed patients of their benefits and financial responsibilities pre-service.
Ensured accurate completion of authorizations in accordance with scheduled procedures.
Monitored outstanding accounts across various insurance carriers, including Medicare, Medicaid, and private payors.
Experience
0-2 Years
Level
Junior
Education
AAS
Revenue Recovery Specialist Resume
Headline : Accomplished Revenue Recovery Specialist with 7 years of experience in streamlining revenue processes and maximizing collection efficiency. Expertise in analyzing discrepancies, collaborating with insurance companies, and implementing data-driven strategies to optimize reimbursements. Passionate about enhancing financial performance and operational excellence through meticulous analysis and innovative solutions.
Identified and rectified payment discrepancies, enhancing revenue accuracy.
Analyzed financial data to provide actionable recommendations for revenue improvement.
Collaborated with cross-functional teams to optimize billing and collection processes.
Reviewed and interpreted contracts to ensure compliance and maximize reimbursements.
Resolved underpaid claims efficiently, contributing to overall financial health.
Monitored payer policies to assess impact on revenue cycles.
Presented analytical findings to stakeholders, facilitating informed decision-making.
Experience
5-7 Years
Level
Senior
Education
B.S. HCA
Junior Revenue Recovery Specialist Resume
Objective : Detail-oriented Revenue Recovery Specialist with over 5 years of experience in identifying and recovering lost revenue through effective analysis and negotiation. Proven track record in managing accounts receivable, resolving discrepancies, and implementing process improvements to enhance cash flow. Strong communication skills and a commitment to maintaining positive client relationships while achieving financial targets.
Skills : Accounts Receivable Management, Market Research, Stakeholder Engagement, Training & Development, Project Management, Problem Solving
Description :
Managed medical collections for intra-operative monitoring, ensuring compliance with industry standards.
Conducted daily collections operations, including status calls, appeals, and patient billing for multiple insurance plans.
Utilized various direct and indirect portals for efficient claims processing.
Executed account adjustments to rectify billing errors and discrepancies.
Applied knowledge of Medicare guidelines to ensure correct billing practices.
Negotiated payment proposals with healthcare cost management entities to optimize revenue recovery.
Participated in industry webinars to stay updated on reimbursement policies and procedures.
Experience
2-5 Years
Level
Junior
Education
B.S. in HA
Revenue Recovery Specialist Resume
Summary : Results-oriented Revenue Recovery Specialist with 10 years of expertise in optimizing revenue cycles, enhancing collections, and driving financial performance. Proficient in analyzing claims, resolving discrepancies, and collaborating with insurers to secure timely reimbursements. Passionate about leveraging analytical insights to boost operational efficiency and maximize revenue recovery efforts.
Skills : Sales Support, Record Keeping, Credit Analysis, Risk Assessment, Team Collaboration, Process Improvement
Description :
Monitored and analyzed government, managed care, and commercial payer claims to optimize revenue recovery and ensure compliance with contracts.
Developed in-depth knowledge of payer regulations and coverage plans to effectively manage claims and appeal processes.
Utilized internal data systems to track payment variances, initiating timely appeals for discrepancies to enhance revenue recovery.
Conducted thorough analyses of internal processes and payer systems to identify and communicate corrective actions for payment variances.
Collaborated with Managed Care and Government Payer teams to ensure accurate modeling of contracts in decision support systems.
Documented appeals and successfully recovered funds through various reimbursement processes.
Led special projects focused on resolving recovery issues and optimizing revenue collection strategies.
Experience
7-10 Years
Level
Management
Education
BSHA
Associate Revenue Recovery Specialist Resume
Objective : Motivated professional with 2 years of experience in revenue recovery and collections optimization. Proficient in analyzing accounts, addressing discrepancies, and collaborating with insurance providers to ensure accurate reimbursements. Driven to utilize analytical skills and industry knowledge to enhance financial performance and streamline operational processes.
Skills : Account Management, Effective Communication, Trend Analysis, Time Management
Description :
Trained staff in Infusion and Urgent Care billing procedures.
Posted payments for Medicare and major medical claims accurately.
Applied knowledge of coding fundamentals (CPT, HCPCS, ICD-9, ICD-10) and utilized billing software effectively.
Reduced administrative costs by optimizing correspondence processes.
Validated account analyses before distribution to ensure accuracy.
Identified and contacted customers with lapsed orders for potential recovery.
Created and maintained a comprehensive list of client contacts for follow-up.
Experience
0-2 Years
Level
Entry Level
Education
B.S. Health Admin.
Revenue Recovery Specialist Resume
Summary : Accomplished Revenue Recovery Specialist with a decade of experience in optimizing revenue processes and enhancing collection efficiency. Expert in analyzing accounts, resolving discrepancies, and collaborating with insurance providers to secure timely reimbursements. Focused on leveraging data-driven strategies to maximize financial recovery and improve operational performance.
Negotiated repayment plans, utilizing company policies and client contracts to secure full payments or manageable arrangements.
Conducted financial assessments to determine consumer conditions and tailor recovery strategies.
Identified reasons for account delinquency, implementing innovative solutions to resolve issues.
Maintained comprehensive records of customer accounts, ensuring timely recovery of outstanding balances.
Executed account maintenance tasks, including reviews, reconciliations, and compliance with corporate policies.
Ensured adherence to state and federal regulations, safeguarding the integrity of collection practices.
Met and exceeded corporate standards for call quality and recovery performance.
Experience
10+ Years
Level
Executive
Education
BSBA
Senior Revenue Recovery Specialist Resume
Headline : Results-focused Senior Revenue Recovery Specialist with 7 years of experience in optimizing revenue cycles and enhancing collection processes. Proficient in resolving billing discrepancies, analyzing accounts, and collaborating with insurance providers to secure timely reimbursements. Committed to driving financial success and operational efficiency through strategic analysis and innovative solutions.
Skills : Data Entry, Process Improvement Training, Negotiation Tactics, Customer Outreach, Follow-up Skills, Communication Skills
Description :
Ensured accurate receipt of incoming merchandise, verifying against shipment records for quality assurance.
Managed damaged or misplaced packages, coordinating repairs and proper documentation.
Adapted to a fast-paced environment, providing support across various departments as needed.
Utilized physical strength in the handling of heavy items, maintaining productivity.
Completed required continuing education to stay abreast of industry standards.
Followed up with insurance companies to ensure timely processing of claims.
Collaborated with team members to improve operational workflow and efficiency.
Experience
5-7 Years
Level
Management
Education
B.S. Finance
Revenue Recovery Specialist Resume
Objective : Proactive Revenue Recovery Specialist with 2 years of experience in enhancing collections and optimizing revenue cycle processes. Expert in analyzing accounts, resolving discrepancies swiftly, and working collaboratively with insurance providers to secure timely reimbursements. Focused on utilizing analytical skills to improve financial outcomes and streamline operational efficiency.
Conducted thorough follow-ups on health insurance claims to ensure timely payments.
Analyzed claims data to identify payment variances and discrepancies.
Prepared comprehensive reconsiderations and appeals for denied claims.
Drafted medical necessity letters to support authorization requests.
Pursued underpayments from insurance companies, improving overall collections.
Maintained accurate Local Exchange Carrier (LEC) records across multiple providers.
Collaborated with team members to enhance data accuracy in claims processing.
Experience
0-2 Years
Level
Fresher
Education
BSc
Revenue Recovery Specialist Resume
Objective : Dedicated Revenue Recovery Specialist with 5 years of experience in optimizing revenue cycles and improving collections efficiency. Skilled in analyzing billing discrepancies, negotiating with insurance providers, and implementing strategic solutions to enhance cash flow. Passionate about leveraging analytical expertise to drive financial performance and foster operational excellence.
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