Insurance Billing Follow-Up Specialist

Insurance Billing Follow-up Specialist 7650 Revenue Cycle Management **Schedule:** Day Shift.  40 hours weekly.  8:00am – 5:00pm. Onsite **About the Position** This position performs day-to-day billing and follow-up activities within the revenue cycle operations. Responsible for ensuring assigned insurance balance does not age past filing deadlines based on payor’s specific requirements. **Overview of Responsibilities** * Verifies insurance coverage by investigation or interview. * Follows up on accounts with insurance payers in a timely manner to avoid timely filing losses. * Adds account notes in Epic as appropriate and per department expectations. * Works an acceptable number of accounts based on department productivity standards. * Utilizes telephone contacts, faxes, Internet, or other methods to follow up with payers. * Reviews insurance credit balances and refunds payer when appropriate. * Engages management when a claim is approaching the timely filing limit and is unsure how to get it paid or if the insurance/other responsible party is unresponsive. * Requests and completes re-bills as necessary. * Notifies management when payers are unresponsive. * Responds to requests for information from patients or payers about claims or coverage. * Actively participates in payer representative meetings to resolve issues. * Follows compliance with laws, regulations, and guidelines of federal and state programs, emphasizing fraud, waste, and abuse prevention. * Completes other duties and projects as assigned to support department goals. * Actively participates in area and department meetings. * Attends other meetings as requested. This list of duties and responsibilities is not intended to be all-inclusive and can be expanded to include other duties or responsibilities that management deems necessary. **Education & E****xperience** * Education Required: High School Diploma * 2-3 years of experience in medical billing or insurance. * Knowledge of government medical programs such as Medicare, Medicaid, Champus, etc., and the associated payment methodologies is preferred.