Insurance Follow-Up Specialist
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Job Description
Insurance Follow-up and Denials Specialist analyzing and resolving intermediate payer denials in a healthcare organization. Collaborating with internal and external stakeholders to ensure accurate billing and reimbursement processes.
Responsibilities:
- Work with intermediate payer denials and understand reimbursement methodologies
- Identify denial trends and possible solutions
- Assist other caregivers with level one follow-up tasks
- Resolve denials by researching, appealing, correcting and rebilling claims
- Coordinate with Cash Management to obtain and post payments
- Maintain accurate records in the EHR and provide documentation
- Collaborate with internal and external stakeholders to resolve issues
Requirements:
- High school diploma or GED
- Course work in medical terminology or other revenue cycle functions such as RHIT or medical coding
- Course work in Microsoft Office applications
- Five years of applicable healthcare experience of which two years must have been in insurance follow up or equivalent role
- Experience in an applicable financial, analytical, or medical billing and coding position may substitute for up to one of healthcare experience
- One year of Epic experience
- Two to three years of Epic experience preferred
- Experience using revenue cycle knowledge-based tools including applicable software and AMA manuals
Benefits:
- medical
- dental
- vision
- 403(b) retirement plan
- Earned Time Off (ETO) program
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