Insurance Follow Up Specialist

Description

PURPOSE STATEMENT

This position is responsible for follow up with payers to ensure timely resolution of all outstanding claims via phone, emails, fax, or websites.

ESSENTIAL FUNCTIONS

• Forecast and trend denials.
• Advises supervisor of trends in order to improve processes within the department.
• Follow up on denials aggressively with focus on AR reduction, payer timely filing limits, and contract requirements.
• Process requests for medical records accurately.
• Compile supporting documentation and effectively communicate reconsideration requests to payers.
• Demonstrates the ability to maintain the responsible AR with no more than 30% over 90 days.
• Maintain a positive rapport with all customers and coworkers.
• Appropriately handles all telephone and email communications.
• Support the Medical Center's Mission. Vision, and Philosophy positively.
• Maintain regular attendance.
• Perform other essential duties as assigned.

Requirements

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS

• High school diploma or equivalent.
• One-year medical billing experience preferred.
• Familiarity with medical terminology.
• Ability to communicate with various insurance payers.
• Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.