Insurance Follow Up Specialist
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Job Description
Insurance Follow-Up Specialist following up on accounts receivables at Revology. Focused on resolving payer denials to ensure accurate, timely reimbursement for clients.
Responsibilities:
- 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.
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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