Insurance Follow Up - Revenue Cycle Specialist (REMOTE)

We are a growing healthcare solutions company that is looking for dynamic and experienced individuals to join our revenue cycle team! We offer work from home (remote) positions with a flexible schedule and commission program. We are hiring for experienced insurance follow-up representatives with Medicare Part A and B a plus.

The Insurance Follow-Up Specialist assists the unit in resolving insurance balances pending with a third-party payer and working with consumers on behalf of our client as an extended business partner. This position is fully remote - work from home.

• Processes denials from insurance companies as appropriate according to coding and specific insurance policies and procedures
• Processes aging reports according to established client business office guidelines
• Remains current with assigned insurance company publications and is knowledgeable regarding policies, procedures and coding guidelines for insurance company/network for which the representative is responsible
• Research and handle insurance credit balances according to company and insurance procedures
• Work daily correspondence from patients and insurance companies and handles inquiries appropriately and in a timely manner
• This position could be required to communicate directly with the provider/client on status updates and on information necessary for processing a completed account for payment resolution
• Successfully assist in leading team to meet defined goals and contractual obligations for each client
• Follow-up on accounts by contacting third-party payers via website/telephone/mail for payment status, according to schedule of disposition/payer to be worked on given days
• Researches, identifies, and rectifies any special circumstances affecting resolution of consumer account
• Gather information regarding other pending claims on account
• Contact third party payer to verify benefits and eligibility dates
• Update consumer accounts in system with any action taken or additional information attained
• Adheres to all established company policies and departmental procedures. Remains current on Federal and State regulations and statues that influence collections of receivables
• Performs other duties as assigned by managing supervisor

• 2-4 years' experience in a medical environment with emphasis on collections, follow-up, and/or billing for third party
• Medicare/DDE experience is a plus.
• Working knowledge of Healthcare Revenue Cycle Operations. Experience in hospital billing is preferred
• Working knowledge of all appropriate billing forms, including 1500 and UB04
• Ability to identify trends within claim denials in an effort to quickly resolve multiple claim issues
• Ability to take and follow direction
• Excellent communication skills
• Computer literate with a knowledge of, or ability to learn about, collection procedures and governing laws applicable to position
• Ability to learn new software as necessary

Benefits

• Major Medical Insurance
• Flexible Spending Account
• Dental Insurance
• Vision Insurance
• Life Insurance
• Short-Term and Long-Term disability 100% paid by employer after 1 year
• Voluntary Term Life
• 401(k) Savings Plan
• Supplemental Insurances
• Paid Holidays
• Paid Time Off