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.
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Processes denials from insurance companies as appropriate according to coding and specific insurance policies and procedures
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Processes aging reports according to established client business office guidelines
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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
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Research and handle insurance credit balances according to company and insurance procedures
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Work daily correspondence from patients and insurance companies and handles inquiries appropriately and in a timely manner
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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
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Successfully assist in leading team to meet defined goals and contractual obligations for each client
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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
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Researches, identifies, and rectifies any special circumstances affecting resolution of consumer account
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Gather information regarding other pending claims on account
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Contact third party payer to verify benefits and eligibility dates
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Update consumer accounts in system with any action taken or additional information attained
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Adheres to all established company policies and departmental procedures. Remains current on Federal and State regulations and statues that influence collections of receivables
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Performs other duties as assigned by managing supervisor
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2-4 years' experience in a medical environment with emphasis on collections, follow-up, and/or billing for third party
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Medicare/DDE experience is a plus.
- Working knowledge of Healthcare Revenue Cycle Operations. Experience in hospital billing is preferred
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Working knowledge of all appropriate billing forms, including 1500 and UB04
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Ability to identify trends within claim denials in an effort to quickly resolve multiple claim issues
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Ability to take and follow direction
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Excellent communication skills
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Computer literate with a knowledge of, or ability to learn about, collection procedures and governing laws applicable to position
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Ability to learn new software as necessary
Benefits
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Major Medical Insurance
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Flexible Spending Account
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Dental Insurance
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Vision Insurance
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Life Insurance
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Short-Term and Long-Term disability 100% paid by employer after 1 year
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Voluntary Term Life
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401(k) Savings Plan
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Supplemental Insurances
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Paid Holidays
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Paid Time Off