INSURANCE FOLLOW-UP SPECIALIST (BLUES)
About the position The Insurance Follow-up Specialist is responsible for the optimal payment of claims from commercial insurers, managed care plans, and state and federal plans and other guarantors through work queues throughout the Revenue Cycle including but not limited to Follow-up, Claim Edit, Charge Review, Account, Router Review, Retro Review and Case Rate. This position is Remote and requires a full-time commitment of 40 hours per week on a day shift schedule. Responsibilities Conducts timely and accurate work with the goal of resolving outstanding claims quickly and maximizing appropriate revenue. , Accurately deciphers denial reason and decides follow-up steps utilizing the Epic billing system by analyzing rejection issues. , Identifies and resolves payor specific coding issues and provide feedback to Coding and Charge Capture team as appropriate. , Displays sound judgment in choosing the most efficient and effective method of follow-up, including appealing denials, taking adjustments, e-mail, payor websites and telephone inquiries. , Documents clear and concise narrative using smartphrases in Epic of steps taken to facilitate resolution of outstanding claims/issues. Requirements High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environment , Equivalent education/experience. Nice-to-haves
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