Follow-Up Representative

5 days ago

Alameda, California, United States Boost Healthcare Full time
Job Description

Company Overview

Boost Healthcare is a leading consulting firm specializing in revenue recovery for healthcare providers. Our team of experts works closely with clients to identify and recover denied and underpaid claims from commercial and government payers.

Job Summary

This position is responsible for following up on claim status, denials, and initiating appropriate action for outstanding claims aged 45 days or greater to resolve insurance balances. The successful candidate will support the success of a high-volume, fast-paced revenue cycle by helping to follow up on accounts in a timely manner, navigate independently through multiple applications, payer portals, and other websites.

Key Responsibilities

  • Completes appropriate actions needed for timely claims follow-up and effective appeals submission, including research, rebilling, adjustments, transfers to next responsible parties, and escalating payer issues to Leadership.
  • Corresponds professionally with third-party commercial insurance payers to obtain information required for effective claims resolution.
  • Uses provided reference materials to troubleshoot claims issues and increase understanding of claims resolution techniques, referencing payer websites as needed.
  • Working knowledge of EOBs, EFTs, and ERAs, patient liabilities, and insurance or third-party correspondences.
  • Completes assigned work queues or tasks within timeframes assigned by Leadership.
  • Communicates and collaborates well with other team members.
  • Assists other projects, teams, and staff as needed or assigned.

Requirements

  • High school diploma or equivalent.
  • Four years' experience with billing and collections within the healthcare revenue cycle, including knowledge of HIPAA regulations, diagnosis, and procedural codes.
  • Ability to adapt within a high-volume, fast-paced revenue cycle team.
  • Hospital Billing and/or Professional Billing experience.
  • Ability to interpret EOBs, denials, and appeals.
  • Ability to efficiently call insurance payers.
  • Utilize websites and payer portals when applicable.
  • Express critical thinking in independent work.
  • Demonstrate high capabilities of computer literacy.
  • Must be adaptable and able to work with a diverse team and client base.
  • Work within deadlines while remaining flexible and organized.
  • Excellent communication, both written, verbal, and demonstrate listening skills.
  • Ability to learn within a 100% remote environment.
  • Secure working location with no interruptions during working hours.
  • High proficiency with standard office equipment and software, such as Microsoft Office products, knowledge of Health Information Systems, 10-key, multi-line telephone.
  • Type minimum of 40 wpm.

Preferred Systems/Software Experience

  • EPIC.
  • Healthlogic.
  • ChangeHealthcare/Emdeon.
  • Payer Portals – Availity, OneHealthPort, Passport, etc.
  • Microsoft Office 365 – Teams, Outlook, Excel, PowerPoint, etc.

Compensation and Benefits

  • Base salary range USD $32,670 - $48,330 annually.
  • Medical, dental, vision, 401k + matching.
  • 3 weeks of PTO.
  • Education and wellness stipends.
  • Paid holidays.
  • Performance-based bonus opportunities.
  • Employee referral incentive.
  • Flexible working environment.

Working Conditions

  • Remote face-to-face trainings and meetings. Cameras are required.
  • Base download/upload internet speed of at least 35Mbps – SATELLITE/HOT SPOT INTERNET IS NOT PERMITTED.
  • Quiet, dedicated, non-shared, secure space to work.
  • All equipment will be provided by Boost Healthcare.
  • Must reside in AZ, FL, GA, IL, LA, MN, OH, OR, PA, SC, or TX.

Physical Requirements

  • Talking: Frequently conveying detailed or important instructions or ideas accurately, clearly, or quickly to your team, Supervisor, or insurance companies.
  • Hearing: Able to hear average or normal conversations and receive ordinary information.
  • Repetitive motion: Frequent and regular use of the wrists, hands, and fingers to make small movements such as typing or picking up small objects. Normal fine and gross motor control of fingers and hands.
  • Seeing: Visual acuteness necessary for the proper evaluation of or to prepare, inspect documents or other materials. Ability to accurately view computer monitors.

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