Insurance Specialist
At Meduit, Insurance follow-up representatives work with our clients, hospital systems and physician groups to ensure these healthcare providers are receiving the reimbursements they are due. This helps to ensure the financial strength of these organizations and allows them to focus more time on patient care and the patient experience.
If making a difference in the effectiveness of healthcare delivery appeals to you.
Job Snapshot:
Location: Charlotte, NC.; Wace, TX and Greensburg, IN.
Base Pay: $30,000/year based on experience.
Employee Type: Full-Time
Experience: At least 1 year
Insurance Follow-up Representative:
Are responsible for hospital and physician billing. Duties include working with payers to resolve issues and facilitate prompt payment of claims. Through knowledge and understanding of patient billing, claims submission, and payer specific requirements is a must. This position is highly focused on the resolution of insurance proce3ssing errors and denials. Payers include but are not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.
Specific duties/skills include:
- Must have experience in billing, reimbursement and follow up within a physician or hospital environment with a proven track record of success.
- Calling insurance companies when necessary to find out why a claim is rejecting and follow through by correcting information and resubmitting the claim for payment.
- Contacting patients when necessary to obtain correct information to resolve issues for a prompt payment.
- Detail oriented.
- Strong problem solving and research skills.
- Excellent interpersonal, verbal, and written skills.
- Ability to work independently.
- Knowledge of medical terminology and coding.
- Familiarity with insurance explanations of benefits and denial codes.
- EMR software, Microsoft Word and Excel.
Qualifications:
- High school diploma is required.
- Undergraduate degree preferred.
- Medical Billing/Follow up experience required.
- Customer service experience required.
- Experience in client billing system is preferred.
- Medicare/Medicaid and commercial payor experience preferred.