Audit/refund Recovery Specialist I
Lombard, IL

Job Description

Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact.

As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.Here at Change Healthcare, we're using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life.

If you're ready to embrace your passion and do what you love with a company that's committed to supporting your future, then you belong at Change Healthcare.

Pursue purpose. Champion innovation. Earn trust. Be agile. Include all.

Empower Your Future. Make a Difference.

The Audit and Recovery Specialist is a mid-level position on the Provider Experience Team. Work is slightly complex and requires a higher level of understanding of the revision and refund recovery process. This position is responsible for obtaining necessary documents to move cases into refund recovery and receiving a timely and complete refund from different healthcare providers. Staff will work through an assigned inventory. This role is a self-motivated and goal-oriented individual, using not only detailed instructions but also required to utilize additional resources to complete the job responsibilities. The incumbent uses a combination of routine procedures and troubleshooting techniques to resolve complicated issues within the audit and recovery process and works under controlled supervision to complete job responsibilities.

Detailed Description:

* Review, investigate, analyze, and resolve key issues at the provider and client level
* Manage outstanding inventory as assigned by maintaining daily call volume and inventory turnover rate expectations
* Adhere to all escalation timeframes and re-status inventory according to department guidelines
* Interface and collaborate with various levels at the provider level to communicate outstanding inventory issues and attempt continuous follow-up throughout the order to cash revenue cycle
* Utilize and contribute to refining department policy and procedures
* Identify and communicate process improvements which result in operational efficiencies
* Ensure systematic data oriented efforts to improve consumer and/or client services
* Serve as resource and subject matter expert to less experienced staff
* Collaborate, coordinate, and communicate across disciplines and departments
* Ensure compliance with HIPAA regulations and requirements.
* Demonstrate commitment to the Company's core values
* The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary

Job Requirements:

* Associate's Degree preferred
* Minimum 2 years of experience within the healthcare, claims, or insurance industries
* Minimum 2 years of experience working in a call center or in a role with heavy phone interaction required
* Minimum of 2 years serving in a refund recovery, negotiation or debt collection capacity preferred
* Experience using a computer and MS Office (Word and Excel)
* Experience working in different systems and applications with the ability to toggle between different programs at once
* Knowledge of Medical Terminology
* Experience with creation, programming, analysis, and assessment of spreadsheets required
* Knowledge of claims processing helpful
* Organizational, leadership, communication, interpersonal, customer service, follow-up, and problem solving skills
* Ability to perform and act on root cause analysis
* Ability to ascertain issues from limited data
* Ability to anticipate and provide quick resolution to issues impacting recoveries
* Ability to interface with all levels including internal senior leadership and external clients
* Ability to use computer hardware, software, and peripherals related to job responsibilities, including MS Office
* Ability to work independently as well as part of a team
* Ability to mentor others
* Ability to multi-task, prioritize, and manage time

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Equal Opportunity/Affirmative Action Commitment

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.