Company Description

Audley Law Offices, Partnered with Audley Recovery Solutions LLC, represents hospitals and health systems in complex reimbursement and revenue recovery matters. We specialize in resolving high-dollar, high-complexity claims involving payer denials, coordination of benefits (COB), delayed payments, and legally escalated recovery efforts. Our work sits at the intersection of hospital revenue cycle management and legal advocacy, requiring strong investigative and analytical skills to identify root causes of non-payment, interpret payer policy, and partner closely with providers to protect earned revenue through a patient-centered, professional, and compliance-driven approach.

Role Description

The Hospital Revenue Recovery Analyst Level 1 is responsible for supporting the advancement and resolution of unpaid hospital claims by assisting and identifying root causes for payment denial/delay, engaging payers, patients, and hospitals throughout the course of claim resolution, and following established workflows and recovery strategies aimed at securing payment. This role is designed for professionals with a minimum of 2 years of hospital billing or revenue cycle experience who are comfortable working denials, appeals, COB issues, and escalations with minimal supervision. This role provides opportunities for professional growth and increased responsability as proficiency and business needs allow.

Key Responsibilities

Claim Resolution & Appeals

• Assist in managing and resolving complex hospital claims involving denials, COB, and delayed reimbursement.
• Analyze EOBs, denial codes, payer correspondence, and hospital billing records to support claim resolution.
• Support and identify resolution strategies including appeals, resubmissions, escalations, and legal referrals.
• Initiate and maintain contact with insurance carriers, patients, legal representatives, and third-party administrators to verify account status, coverage details, and denial rationale.
• Track claim status and document all activity in internal systems and payer portals.

Correspondence & Documentation

• Draft customized appeal letters, billing inquiries, and escalation correspondence.
• Assist with gathering and organizing claim information and supporting documentation for client updates, reports, and invoices, as requested.
• Maintain clear, accurate case notes and documentation in compliance with HIPAA and PHI standards.

Client & Internal Coordination

• Assist in providing claim updates to hospital clients and internal leadership.
• Assist with reconciliations and case status reporting activities.
• Flag trends, recurring denials, or outlier claims requiring additional attention.

Analysis & Process Improvement

• Identify coding, billing, or payer policy issues impacting reimbursement.
• Participate in cross-system reviews (EMR, payer records, patient information) to support appeal strategy.
• Contribute to process workflow refinement, templates, and best practices.

Compensation & Benefits

• Base salary range of $55,000 to $62,000
• Bonus payouts three times per year, based on both individual and firm performance
• Bonus particiaption will become effective following 90 day probation period and proven abiltiy to collect on complex accounts
• Comprehensive health insurance with no employee premium contributions, plus dental and vision coverage
• 401(k) plan with a 3% employer match
• Three (3) weeks of paid time off (PTO), in addition to company holidays
• Structured performance reviews with opportunities for merit-based salary increases
• Opportunities for professional growth and increased responsibility within a growing organization
• Free parking
• Paid professional development opportunties
• High-visibility role with direct collaboration with leadership and measurable impact on business outcomes
• Cell Phone Reimbursement allowance

Required Qualifications

• Minimum of 2 years of experience in hospital billing, revenue cycle, or claims resolution.
• Experience working with denials, appeals, and payer follow-up activities.
• Working knowledge of EOBs, denial codes, COB rules, and reimbursement processes.
• Excellent written and verbal communication skills.
• Strong organizational skills and attention to detail.
• Proficiency with Microsoft Word, Excel, Outlook, and PDF tools.
• Understanding of HIPAA and secure data handling practices.

Preferred Qualifications

• Experience with hospital billing systems EPIC.
• Familiarity with payer portals (e.g., Availity, NaviNet, Medicare DDE).
• Familiarity with ICD-10, CPT, and HCPCS coding.
• Experience supporting legally escalated claims or working with attorneys.
• Power BI or other metric platform knowledge a plus.
• PowerPoint presentation skills.

Why Join Us

• Work on challenging, non-routine claims that require critical thinking and strategy.
• Collaborate with attorneys, senior analysts, and hospital leadership.
• Be part of a team that values accuracy, professionalism, and accountability.
• Contribute directly to protecting hospital revenue and resolving complex payer issues.

Pay: $55,000.00 - $62,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Professional development assistance
• Vision insurance

Work Location: In person