Insurance Billing Follow-up Specialist

Insurance Billing Follow-Up Specialist

Schedule : Day Shift. 40 hours weekly. 8 : 00am 5 : 00pm. Flex schedule. Position is Onsite North Complex.

About the Position

This position performs day-to-day billing and follow-up activities within the revenue cycle operations. Responsible for ensuring assigned insurance balance does not age past filing deadlines based on payor's specific requirements.

Overview of Responsibilities

• Verifies insurance coverage by investigation or interview.
• Follows up on accounts with insurance payers in a timely manner to avoid timely filing losses.
• Adds account notes in Epic as appropriate and per department expectations.
• Works an acceptable number of accounts based on department productivity standards.
• Utilizes telephone contacts, faxes, Internet, or other methods to follow up with payers.
• Reviews insurance credit balances and refunds payer when appropriate.
• Engages management when a claim is approaching the timely filing limit and is unsure how to get it paid or if the insurance / other responsible party is unresponsive.
• Requests and completes re-bills as necessary.
• Notifies management when payers are unresponsive.
• Responds to requests for information from patients or payers about claims or coverage.
• Actively participates in payer representative meetings to resolve issues.
• Follows compliance with laws, regulations, and guidelines of federal and state programs, emphasizing fraud, waste, and abuse prevention.
• Completes other duties and projects as assigned to support department goals.
• Actively participates in area and department meetings.
• Attends other meetings as requested.

This list of duties and responsibilities is not intended to be all-inclusive and can be expanded to include other duties or responsibilities that management deems necessary.

Education & Experience