Medical Billing Expert: Follow Up Specialist

1 week ago


Pennsauken, New Jersey, United States Insight Global Healthcare Full time
Job Summary

We are seeking a detail-oriented Medical Billing Expert to join our team as a Follow Up Specialist. In this role, you will be responsible for ensuring efficient resolution of billing discrepancies and denials/rejections.

About the Role

This is an exciting opportunity to work with a leading revenue cycle management client in Pennsauken, NJ. As a Medical Billing Expert, you will analyze and understand Explanation of Benefits (EOB) or Remittance Advice (ERA) received from insurance carriers, take appropriate action according to company guidelines and client-specific processes, and follow up with insurance companies via phone calls or payer portals on denials and payments.

The successful candidate will identify trends, research payer policies and guidelines to provide insights to the management team, correct and resubmit claims, perform documentation and data entry, and monitor accounts receivable follow-up work queues and reports.

Key Responsibilities
  • Resolve billing discrepancies and denials/rejections promptly and efficiently
  • Analyze and understand Explanation of Benefits (EOB) or Remittance Advice (ERA) received from insurance carriers and take appropriate action according to company guidelines/processes per the client
  • Follow up with insurance companies via phone calls or payer portals on denials/payments
  • Identify trends and research payer policies/guidelines to provide insights to the management team
  • Correct and resubmit claims
  • Perform documentation and data entry
  • Monitor accounts receivable follow-up work queues/reports
Requirements
  • Diploma or GED
  • 1+ year of medical billing follow-up experience
  • Familiarity with various insurance carriers
  • Understanding of medical terminology including CPT and ICD-10 codes
  • Ability to handle 75+ claims daily
  • Excellent communication skills

We offer a competitive salary of $50,000 - $60,000 per annum, depending on experience.



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