Insurance Billing and Follow Up Specialist II
US-IA-Des Moines
careers
Req #: 169899
Type: Full Time Benefits
|
Overview: Insurance Billing and Follow Up Specialist II will be responsible for performing all billing and follow-up functions, including the investigation of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that claims are paid in a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of data coming from multiple resources. To evaluate billing and follow-up issues appropriately, Reps will need to have an understanding of the entire Revenue Cycle and be able to interact with Government and Commercial insurances. Location: Remote - applicants preferably reside within the UnityPoint Health footprint of Iowa, Illinois, or Wisconsin. Hours: Monday-Friday, day shift Candidates must have permanent work authorization in the U.S. This position does not offer visa sponsorship. Responsibilities: Billing and Follow Up Responsibilities * Resolve billing errors/edits, including accounts with Stop Bills and "DNBs" to ensure all claims are filed in a timely manner * Ensure all claims are accurately transmitted daily and all appropriate documentation is sent when required * Verify eligibility and claims status on unpaid claims * Review payment denials and discrepancies and take appropriate action to correct the accounts/claims. * Respond to customer service inquiries * Perform charge corrections when necessary to ensure services previously billed incorrectly are billed out correctly * Submit replacement, cancel and appeal claims to third party payers * Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication. * Work accounts in assigned queues in accordance with departmental guidelines. * Contact patients for needed information so claims are processed /paid in a timely manner * Work directly with third party payers and internal/external customers toward effective claims resolution. Qualifications: * High school graduate or GED equivalent * Medical billing experience * Interpersonal skills * Written and verbal communication * Basic computer skills * Motivation * Teamwork * Customer/Patient focused * Professionalism * Planning and organizing skills
Share this job:
