About the Role
We are seeking a highly detail-oriented Revenue Recovery Specialist to join our growing Revenue Cycle team. This position is responsible for identifying, researching, and resolving claim payment issues while ensuring accurate payment posting, secondary billing, denial management, and underpayment recovery.
The ideal candidate thrives in spreadsheets, enjoys data analysis, can identify trends and root causes, and is passionate about improving revenue cycle performance through proactive follow-up and process improvement.
Key Responsibilities
Denial & Rejection Resolution
- Review and resolve claim denials and rejections within established turnaround times.
- Submit corrected claims, appeals, and supporting documentation as needed.
- Track denied and rejected claims through final resolution. (on weekly Excel Report)
- Identify recurring denial trends and recommend corrective actions.
- Maintain detailed documentation of all follow-up activities.
A/R Follow-Up & Underpayment Recovery
- Perform insurance follow-up on unpaid and underpaid claims.
- Research payment discrepancies and contractual variances.
- Escalate payer issues and systemic reimbursement concerns.
- Work aging reports and prioritize accounts based on financial impact.
- Ensure timely resolution of outstanding accounts receivable.
Payment Posting & Reconciliation
- Review ERA and mail payments within 24–48 hours of receipt.
- Verify adjustments, contractual write-offs, and payment accuracy.
- Reconcile payment discrepancies and identify posting errors.
- Monitor payer reimbursement patterns and escalate concerns.
Secondary Billing
- Submit and monitor secondary insurance claims.
- Resolve coordination of benefits (COB) issues.
- Research secondary claim denials and payment delays.
- Determine and communicate patient responsibility after insurance adjudication.
Trend Analysis & Reporting
- Analyze denial, rejection, and underpayment data using Excel.
- Create and maintain tracking spreadsheets and reporting tools.
- Identify trends by payer, CPT code, provider, and denial reason.
- Present findings and recommendations to management.
- Assist with process improvement initiatives aimed at increasing collections and reducing denials.
Qualifications
Required
- 2+ years of medical billing, accounts receivable, or revenue cycle experience.
- Strong understanding of claim denials, appeals, and insurance follow-up.
- Advanced attention to detail and investigative problem-solving skills.
- Proficiency in Microsoft Excel, including:
- Pivot Tables
- Filters and sorting
- VLOOKUP/XLOOKUP
- Basic reporting and trend analysis
- Ability to manage multiple priorities and work independently.
- Strong written and verbal communication skills.
Preferred
- Behavioral health billing experience.
- Experience with Medicare, Medicaid, Commercial Insurance, and EAP plans.
- Knowledge of ERA posting and payment reconciliation.
- Experience analyzing revenue cycle KPIs and denial trends.
- Familiarity with clearinghouses and payer portals.
What Success Looks Like
- Denials and rejections are worked within 24 hours.
- Payment posting completed within 48 hours of receipt.
- Underpayments identified and escalated promptly.
- Accurate and organized Excel tracking maintained.
- Actionable trend reports provided to leadership.
- Reduction in recurring denials and payer issues over time.
Ideal Candidate Traits
✔ Extremely detail-oriented
✔ Loves working in Excel and analyzing data
✔ Strong critical-thinking skills
✔ Persistent in claim resolution and payer follow-up
✔ Organized and self-motivated
✔ Comfortable identifying trends and presenting findings to management
This role is ideal for someone who enjoys solving complex billing issues, digging into data, and driving revenue recovery through analysis and follow-through.
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance
CONNECT WITH US:
www.themindfullemon.com
IG @themindful_lemon
https://www.linkedin.com/company/the-mindful-lemon-inc
Job Type: Full-time
Pay: From $25.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Retirement plan
- Vision insurance
Application Question(s):
- Do you have 2+ years of medical billing, accounts receivable, or revenue cycle experience?
- Do you have a strong understanding of claim denials, appeals, and insurance follow-up.
Work Location: Remote
