Insurance Claims Specialist

3 weeks ago


Oconomowoc, Wisconsin, United States Rogers Behavioral Health Full time
Job Summary

We are seeking a highly skilled Insurance Follow-up Specialist to join our team at Rogers Behavioral Health. As a key member of our revenue cycle team, you will be responsible for following up with commercial and governmental payers to resolve billing issues and secure timely reimbursement.

Key Responsibilities
  • Identify and analyze denials and payment variances, and enact corrective measures to resolve payer errors
  • Follow up on an average of 60-70 accounts per day to ensure all organizational objectives for A/R performance are met or exceeded
  • Collaborate with team members and supervisors to resolve issues and manage outstanding account balances
  • Utilize payer scorecards to identify high-risk accounts and prioritize follow-up efforts
  • Communicate directly with payers to follow up on outstanding claims, resolve payment variances, and achieve timely reimbursement
Requirements
  • Two years of business office experience in billing, customer service, or collections
  • High school diploma or equivalent required; min of 1 year of relevant insurance experience in mental health or medical account resolution, collections, or professional billing strongly preferred
  • Knowledge of claims review and analysis, as well as a full understanding of healthcare explanation of benefits (EOB)
  • Valid driver's license and insurable status by the Rogers Memorial Hospital insurance policy
What We Offer

At Rogers Behavioral Health, we offer a comprehensive Total Rewards package, including health, dental, and vision insurance coverage, 401(k) retirement plan, employee share program, life/disability insurance, flex spending accounts, tuition reimbursement, health and wellness program, and employee assistance program (EAP).



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