Insurance Follow Up - Revenue Cycle Specialist (REMOTE)
- Vision , Medical , Dental , Paid Time Off , Life Insurance , Retirement
- Full-Time
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.
General Summary of DutiesThe 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.
Duties of Job- 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
Job Posted by ApplicantPro
Address
Wakefield & Associates
Knoxville, TNIndustry
Finance and Insurance
Posted date
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