Correspondence Specialist – Revenue Cycle
Job Summary
The Correspondence Specialist manages inbound and outbound written communication related to billing, denials, appeals, refund requests, and payer inquiries. This role ensures timely, accurate responses to insurance companies, patients, and regulatory agencies while maintaining HIPAA compliance.
Qualifications
- 2–3 years in hospital billing/denial management
- Strong written communication skills
- Knowledge of Medicare appeal levels and payer dispute processes
- Familiarity with CARC/RARC codes
Key Responsibilities
Inbound Correspondence Management
- Review and categorize incoming mail:
- Denial letters
- Medical record requests
- Refund requests
- Additional Documentation Requests (ADR)
- Appeal determinations
- Log and route correspondence to appropriate team (AR, Denials, Refunds).
Outbound Correspondence
- Draft and send:
- Appeal letters
- Medical record submissions
- Reconsideration requests
- Timely filing dispute letters
- Ensure documentation supports payer policies and CMS guidelines.
Medical Record Coordination
- Coordinate with HIM department for record retrieval.
- Ensure records are submitted within payer deadlines.
- Track submission confirmation.
Payer Communication
- Respond to payer audits and document requests.
- Monitor appeal deadlines and follow-up timelines.
- Track appeal outcomes and update billing system.
Documentation & Tracking
- Maintain correspondence log with:
- Date received
- Deadline
- Assigned owner
- Status
- Ensure SLA compliance.
How to Apply
Interested candidates can send your portfolio with updated CV and a brief cover letter to [email protected] with the subject line “Correspondence Specialist – Revenue Cycle”.
About SolvEdge
Solvedge: Pioneering the Future of Digital Healthcare
Our Expertise
SOLVEDGE stands at the forefront of digital healthcare innovation as a premier healthcare performance company. With over 18 years of dedicated service in the healthcare industry, we specialize in a digital care journey platform that revolutionizes how hospitals and health systems engage, monitor, and connect with patients throughout their healthcare experiences. Our partnership with Fortune 100 medical device companies and hospitals nationwide underscores our position as a trusted partner in healthcare solutions.
Key Features of SOLVEDGE
Our platform is designed to empower healthcare providers with the tools they need to automate and streamline care delivery, thereby improving clinical outcomes and patient satisfaction:
- Personalized Care Plans: Leveraging evidence-based data, SOLVEDGE delivers digital care plans customized to meet the individual needs and conditions of each patient.
- Real-Time Patient Monitoring: Through daily health checks, assessment, surveys, and integration with wearable devices, our platform facilitates continuous monitoring of patient health.
- Automated Care Delivery: We automate essential tasks, including appointment scheduling, sending reminders, and delivering educational content, to enhance patient engagement and reduce administrative tasks.
- Remote Patient Monitoring: Healthcare providers can monitor vital signs, symptoms, and treatment plan adherence remotely, enabling timely interventions and proactive care management.
The SOLVEDGE Advantage
Our platform offers significant benefits to healthcare providers and patients alike:
- Improved Clinical Outcomes: By facilitating more effective care pathways and enabling early intervention, SOLVEDGE contributes to reduced readmission rates, fewer emergency department visits, and shorter hospital stays.
- Enhanced Patient Satisfaction: Patients enjoy a higher quality of care with SOLVEDGE, benefiting from improved communication, comprehensive education, and continuous support.
- Cost Savings: Healthcare organizations can achieve substantial cost reductions by minimizing unnecessary readmission, emergency visits, and complications associated with poor care management.
Applications and Impact: SOLVEDGE’s versatility allows for its application across various aspects of healthcare, with a particular emphasis on surgical care. From preparing patients for surgery to monitoring their post-operative recovery, our platform ensures a seamless and supportive care journey. Beyond surgical care, our focus encompasses managing care pathways, enhancing patient engagement through patient-reported outcomes, providing advanced data analytic, integrating with electronic medical records (EMR), and streamlining billing processes. Our comprehensive approach addresses the myriad challenges faced by today’s healthcare industry, backed by our commitment to excellence in service, communication, and customer experience.
A Trusted Partner in Healthcare Innovation: Our strategic relationships and deep understanding of healthcare challenges have positioned us as an indispensable ally to healthcare providers nationwide. As we continue to develop innovative solutions, our goal remains unchanged: to simplify healthcare delivery, improve patient outcomes, and enhance the overall patient experience.
