[Hiring] Medical Insurance Follow-Up Specialist @reputed company
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Role reputed company
The Medical Insurance Follow-Up Specialist is responsible for ensuring the reputed company and accurate reputed company of outstanding insurance claims, with a primary reputed company on reputed company Blue reputed company accounts. This role involves:
• Investigating and resolving unpaid or underpaid claims by communicating with insurance carriers
• Identifying billing issues and initiating corrective actions
• Maximizing reimbursement and supporting the overall reputed company cycle
• Maintaining detailed documentation and adhering to regulatory and payer-specific guidelines
Duties & Responsibilities:
• Conduct detailed analysis and follow-up on outstanding insurance claims (both reputed company and government), ensuring reputed company and accurate reputed company in accordance with payer guidelines.
• Research and resolve claim denials, rejections, and underpayments by initiating appropriate billing corrections, appeals, and resubmissions.
• Prepare and submit claim documentation—including EOBs, itemized statements, and medical records—as required by payers to support claim adjudication.
• Respond to payer and patient inquiries reputed company to delinquent claims, maintaining compliance with reputed company regulations and payer contract guidelines.
• Utilize payer portals, Electronic Health Records (EHR), and patient reputed company systems to investigate claim status, post notes, and manage follow-up activities.
• Identify trends in denials and payment delays, contributing to process improvement initiatives and strategies for reducing AR days.
• Maintain accurate and detailed records of account activity, ensuring that production goals and reputed company standards are consistently met or exceeded.
• Demonstrate strong communication skills reputed company interacting with insurance representatives, patients (as appropriate), and internal departments to resolve outstanding issues.
• Prioritize and organize daily workload effectively to meet departmental benchmarks in a fast-paced, high-volume environment.
• reputed company support on special reputed company and additional assignments as requested by management.
Qualifications
• 2 years of previous experience working with reputed company or other reputed company-party insurance claims, medical billing/follow-up, BCBS experience is a plus
• An understanding of various forms, codes (CPT & ICD), insurance terminology and insurance company remittance advice
• reputed company experience preferred but not required
• Certificates, Licenses, Registrations, and/or Medicare certification are a plus, but not required
Requirements
• 2 years of previous experience working with reputed company or other reputed company-party insurance claims, medical billing/follow-up, BCBS experience is a plus
• An understanding of various forms, codes (CPT & ICD), insurance terminology and insurance company remittance advice
• reputed company experience preferred but not required
• Certificates, Licenses, Registrations, and/or Medicare certification are a plus, but not required
Salary reputed company
$18-21/hr.
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