Job ID: 49334
Location: Columbia, South Carolina
Employment Type: Direct Hire
Last Updated: 6 days ago
A well-established client is seeking several REMOTE Insurance Follow-up Specialists to join their growing team. This is a full time, permanent/Direct Hire. The ideal candidate will have a minimum of 3-5 years of medical insurance billing and follow up experience. Must be able to work remotely Monday-Friday 8am-5pm EST.
PLEASE NOTE: If you are selected for an initial screening for this role – you will receive a call from an 864 area code.
JOB RESPONSIBILITIES:
- Follow-Up with Insurance Carriers to determine reason for claims denial and work to resolve claim for payment.
- Process claims, payments, adjustments, refunds, denials and unpaid insurance balances
- Assess and correct, when needed, demographic, insurance and financial information
- Provide accurate account maintenance and documentation
- Uses and demonstrates understanding of the applicable computer systems, including system reports and security procedures
- Serve as a liaison with insurance companies, third party payors, and administrative personnel
- Analyze EOB’s and account documentation to identify, reconcile and resolve patterns resulting in erroneous or no reimbursement
- Review payer contracts and ensure accounts are resolved consistent with terms
- Ability to resolve insurance denials and file appeals with government and commercial carriers
- Accurately and efficiently processes the account including transaction recording and other functions.
- Stays up to date on contracts, regulations, procedures and other changes affecting the department.
- Reports unusual accounts, account problems and workflow issues promptly to manager.
- Demonstrates positive and professional communication skills.
- Performs other work duties as assigned
Job Requirements:
- High School Diploma required
- 3-5 years of insurance follow-up experience in a hospital or physician’s office setting is preferred
- Thorough understanding of CPT, DRG, HCPC, Procedure and Revenue codes, modifiers and their effect on reimbursement
- Experience with filing UB-04 and HCFA 1500 claim form required
- Background check and drug screens
Hours:
- Monday to Friday (8am to 5pm)
- MUST be able to work Eastern Time Zone Hours
Compensation & Benefits:
- $16 – $20 hourly
- FULLY REMOTE (Work From Home)
- Equipment Provided
- Health Care Insurance Benefits
- PTO
- Strong Company Culture
