Billing & Insurance Follow-up Specialist

Overview
Responsible for timely billing and follow-up of claims for assigned areas. Reviews claims for accuracy for submission and follows up on claims for timely payment. Researches and writes appeals on denied accounts and works aging reports.

What you will do

• Ensures all claims are reviewed for accuracy prior to submission to all payers.

• Completes claim work queues.

• Follows up on claims for timely payment. Submits electronic adjustments as needed and resubmits applicable insurance claims within department guidelines.

• Process very detailed appeals for denials, including the ability to work directly with respective departments and staff to obtain additional documentation to support the appeal.

• Manages assigned portion of AR. Collaborates with the billing office team to resolve outstanding account balances.

• Responds to insurance company requests and processes all insurance/patient correspondence within department guidelines.

• Resolves patient inquiries and complaints and assists patients with COB corrections.

• Acts as a liaison between the billing office and all front-end locations and insurance payers providing consistent detailed information on issues and trends

Qualifications

Education

• High School Diploma or GED, (Required)

• Bachelors Degree, Accounting, Finance or related field (will count for one year of experience) (Preferred)

Experience

• 2 years Revenue Cycle experience (Required)

• 1 year Medical Billing for specific area (Preferred)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.