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revology

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Insurance Follow Up Specialist

InsuranceInsuranceFull TimeRemoteSeniorTeam 11-50H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

28 days ago

Salary

Not specified

Seniority

Senior

High School3 yrs expEnglish

Job Description

• Following up on outstanding accounts receivables and resolving payer denials to ensure accurate and timely reimbursement. • Conduct timely and thorough follow-up with insurance payers via phone, portal, or written correspondence. • Identify root causes of unpaid claims and take corrective action including claim corrections, resubmissions, appeals, and credit resolution. • Escalate systematic or high-impact denial trends to leadership and collaborate with internal teams. • Communicate barriers and opportunities to improve collections and reduce denials to leadership. • Review and respond to insurance correspondence as needed. • Engage with patients and/or guarantors as needed.

Job Requirements

  • 3+ years of healthcare billing and insurance experience required.
  • Knowledge of and/or experience with EOBs, ERAs, denial codes, CPT & ICD-10 codes, authorizations/referrals highly preferred.
  • Ability to work independently to accomplish goals in a dynamic environment.
  • High school diploma or equivalent required; bachelor’s degree or equivalent experience preferred.
  • An aptitude for problem-solving, patience and flexibility while working in the complex industry of healthcare revenue cycle.
  • Ability to comfortably navigate a technology-focused setup to efficiently complete assigned work (multiple monitors + several applications open simultaneously).

Benefits

  • Equal opportunity employer
  • Encourages unique perspectives and authentic selves

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