Claims Follow Up

Description

Job description

We are seeking a patient focused individual to be the Insurance Denials / Claims Follow Up Specialist at our Edina, MN location.

If you have a passion for providing exceptional patient care, are personable, collaborative, attuned to accuracy and fine detail, and would like to join a nationally known and high performing team, we would like to talk to you.

Duties and Responsibilities:

• Accurately and efficiently reviews denied claim information using the payer's explanation of benefits, website, and by making outbound phone calls to the payer's provider relations department for a specific denial type or payer.
• Reviews and obtains appropriate information or documentation from claim re-submission for all denied services, per insurance guidelines and requirements.
• Communicates with patients, insurance carriers, co-workers, and referral sources in a timely, effective manner to expedite the billing and collection of accounts receivable.
• Documents all communications with coworkers, patients, and payer sources in the billing system.
• Contributes to the steady reduction of the days-sales-outstanding (DSO), increases monthly gross collections and increases percentage of collections • Collaborates with supervisor on prioritization of work to enhance bottom line results and achievement of the most important objectives.
• Contributes to a team environment.
• Makes and organizes notes to track workflow and identify trends to communicate to departmental leaders.
• Meets or exceeds RCM quality assurance standards.
• Ensures timely follow-up and completion of all daily tasks and responsibilities.

Requirements:

• High School diploma or equivalent
• 1+ year experience in a medical billing department, provider front office, the Company's imaging center operations, prior authorization department or payer claim processing department.
• Thorough knowledge and experience with EOB's
• Proficiency with Microsoft Excel, Word, and Outlook
• Proficient with using computer systems and typing.
• Experience with multi-line phone system
• Knowledge and experience with ICD-10, CPT and CPT / HCPCS codes
• Graduate of an accredited medical billing program preferred.
• AllScripts experience preferred.

We offer excellent compensation and benefits, to include:

• Paid Holidays - 7 days per year
• Personal Time Off (PTO) - 16 days per year
• Health Insurance
• Health Reimbursement Account
• Health Savings Account
• Dental Insurance (free single coverage)
• Flexible Spending Accounts
• Basic and Supplemental Term Life Insurance (free single coverage)
• Long Term Disability (free single coverage)
• Long Term Care (free single coverage)
• Short-Term Disability
• Vision
• Legal Insurance
• Pet Insurance
• $250 in uniform (scrubs and shoes) reimbursement

About Retina Consultants of Minnesota (RCM):

RCM has 9 Minnesota locations - St. Louis Park, Edina, Edina Specialty, Woodbury, Blaine, Duluth, Maplewood, Anoka and Mankato.

Everything we do.... every decision we make...takes our Guiding Principles into consideration. Our guiding principles are:

• We exist to serve our patients. We will provide the best available medical skills, technology, and service. We will be their advocates. We will care for our patients as if they were members of our family. We will treat our patients with respect, dignity, and kindness.
• We are proud of our dedicated staff. We will strive to provide a rewarding career with opportunity for personal and professional growth. We will promote teamwork. We will provide a respectful and safe working environment.
• We are humbled that other doctors entrust their patients to our care. We will be available when we are needed. We will promptly communicate the results of patient evaluation and treatment. We will respect the referring doctors' relationships with their patients.
• We recognize that we have a responsibility to our community. We will strive to be desire to perpetually "Learn and Grow"
• Efficient and highly accurate user of applicable information technology and health care management systems
• A good corporate citizen. We will function ethically. We will be prudent in our stewardship of healthcare resources.
• Medical advances are critical to our patients. We will remain at the forefront in the search for new knowledge and treatments of retinal disease. We will participate in clinical research. We will share our knowledge with our patients and referring doctors, and with our retinal colleagues around the world.