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University of Missouri-Columbia · 1 day ago

Revenue Recovery Specialist – Follow Up Team

Columbia, MO

Full-time

Hybrid

Mid Level

$22/hr - $34.74/hr

3+ years exp

University of Missouri-Columbia is seeking a Revenue Recovery Specialist for their Follow Up Team. The role involves reviewing and analyzing denials, communicating issues to leadership, and performing root cause analysis to maximize revenue recovery for billed services.

Higher Education

Diversity & Inclusion

H1B Sponsor Likely

Responsibilities

Denials review and analysis: Utilize a combination of payer policies/contract guidelines, knowledge in CPT coding and analysis of medical records in order to formulate reconsiderations/appeals to payers leading to positive outcome for revenue recovery

Identify and communicate trending denials/reimbursement issues to Leadership and Managed Care Department for further escalation with payers in order to recover revenue in a timely manner

Perform root cause analysis of denials utilizing multiple systems in order to identify broken internal revenue cycle processes and future solutions in order to maximize revenue for billed services

Identify and communicate trending internal billing issues due to payer contract/reimbursement guidelines to Leadership in order to establish correct billing in compliance with payer

Special projects as assigned (ex: trending denial root cause analysis, pre-billing tasks as needed, aging AR analysis, etc.)

Position is eligible for the University Physicians work from home program

Qualification

CPT codingDenials analysisRevenue cycle processesContractual analysisClaims denial experienceBusiness acumenInsurance industry knowledgeSoft skills

Required

A bachelor's degree in Accounting, Business Administration, Finance, Health Related Professions, Nursing or an equivalent combination of education and experience from which comparable knowledge and abilities can be obtained is required

Minimum of three years experience in business acumen, insurance or managed care industry, hospital patient accounts or a related health-care area such as utilization management, case management or hospital audit and reimbursement is required

Preferred

Experience in health related contractual analysis involving rate and language analysis, audit and reimbursement, claims denial and appeals experience is preferred

Knowledge of or willingness to learn fundamentals of coding CPT/HCPCS, ICD-9 and/or ICD-10, DRG's and APC's is preferred

Benefits

Medical

Dental and vision plans

Retirement

Paid time off

Short- and long-term disability

Paid parental leave

Paid caregiver leave

Educational fee discounts for all four UM System campuses

Company

University of Missouri-Columbia

The University of Missouri-Columbia offers a comprehensive range of programs, services, and activities as a public research university.

Founded in 2011

Columbia, Missouri, USA

10001+ employees

https://missouri.edu

H1B Sponsorship

University of Missouri-Columbia has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2025 (257)

2024 (213)

2023 (145)

2022 (112)

2021 (115)

2020 (131)