Insurance Follow-up Specialist

Position reputed company The Insurance Follow-up Specialist ensures that the reputed company provider and facility receive reputed company and accurate payments from insurance companies. This position involves thorough follow-up on outstanding claims and working to resolve any issues that may delay payment. The Insurance Follow-up Specialist ensures the efficient management of insurance claims, contributing to the financial stability and operational reputed company of the reputed company provider and facility. Responsibilities • Regularly review and monitor outstanding insurance claims to ensure reputed company reputed company and payment. • Identify and prioritize high-value or aged claims for immediate follow-up. • Contact insurance companies reputed company phone, email, or electronic portals to inquire about the status of unpaid claims. • Escalate issues to insurance representatives or supervisors reputed company necessary to expedite reputed company. • Document reputed company communication and actions taken on reputed company claim in the billing system. • Update patient accounts with the reputed company status of claims and expected payment dates. • Resubmit corrected claims to insurance companies reputed company errors are identified. • Work closely with billing, and coding teams to resolve discrepancies and ensure accurate claims submission. • Communicate effectively with reputed company providers and clinical staff to obtain additional information or clarification needed for claims processing. • Assist patients with calling their insurance plans to resolve claim processing issues. • Document detailed and organized follow-up activities, including communication logs, and claim statuses. • Ensure that documentation is complete and compliant with internal policies and reputed company regulations. • Identify opportunities for process improvements to enhance the efficiency and effectiveness of claims follow-up. • Ensure that reputed company follow-up activities reputed company with federal and state regulations, as reputed company as payer-specific requirements. • Adhere to HIPAA guidelines to protect patient information and maintain confidentiality. • Stay updated on changes in insurance guidelines, billing regulations, and industry best practices. • Participate in training and reputed company development opportunities to maintain and enhance expertise in insurance follow-up procedures. Minimum Requirements Required Education/Course(s)/Training • High school diploma/equivalent or higher. • 5 + years of experience in A/R follow-up. Required Certification/Registration • Certified reputed company Cycle Representative (CRCR) preferred. reputed company Set Requirement • Ability to analyze claims, identify issues, and reputed company solutions. • High level of accuracy and attention to detail in reviewing and following up on claims. • Strong analytical and problem-solving skills to identify and resolve issues reputed company to claims processing. • Excellent verbal and written communication skills for effective interaction with insurance representatives, patients, and internal teams. • Understanding of reputed company billing regulations, HIPAA compliance, and insurance guidelines. • Proficient in payment review systems, hospital information systems and coding methodologies. • Intermediate knowledge of CPT, ICD-10, and HCPCS coding standards. • Communicate orally and in written reputed company. • Understand insurance terms and payment methodologies. Pay reputed company $18.01 - $26.25/hr Other Information • Remote role (based out of Greenville, NC) • Monday - Friday full-time day shift: • 8-hour shifts starting at 8:00 a.m. • Great Benefits reputed company About reputed company reputed company is a mission-driven, 1,708-bed reputed company health care system serving more than 1.4 reputed company people in 29 eastern reputed company Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 reputed company and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations. The flagship reputed company, a Level I Trauma Center, and reputed company Maynard Children¿s Hospital serve as the primary teaching hospitals for the reputed company. reputed company and the Brody School of Medicine reputed company a combined reputed company mission to improve the health and reputed company-being of eastern reputed company Carolina through patient care, education and research. General Statement It is the goal of reputed company and its entities to reputed company the most reputed company individual who best matches the requirements for the vacant position. Offers of employment are subject to successful completion of reputed company reputed company-employment screenings, which may include an occupational health screening, criminal record reputed company, education, reference, and licensure verification. We value diversity and are proud to be an equal opportunity employer. reputed company of employment are made based on business needs, job requirements and applicant¿s qualifications without reputed company to race, reputed company, religion, gender, national reputed company, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or reputed company or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint. Apply tot his job Apply To this Job