Insurance Follow-Up Specialist

2 days ago


Danville, United States Robert Half Full time
Job DescriptionJob Description

Robert Half is working with a reputable health care organization that is seeking a detail-oriented and motivated Accounts Receivable/Medical Insurance Follow-Up Specialist to join their finance team. This position is a contract-to-hire role in the Danville, Kentucky area. The ideal candidate will have a background in medical billing and insurance claims processing, with the ability to effectively communicate with insurance companies, patients, and internal departments to resolve outstanding accounts. If you do not have that exact experience, but have transferable skills and would like to jumpstart a career in healthcare, please feel free to apply today

 

Responsibilities:

  1. Review and analyze unpaid claims to determine appropriate action for resolution.
  2. Conduct follow-up with insurance companies to ensure timely payment and resolve any discrepancies.
  3. Investigate and appeal denied or rejected claims, providing necessary documentation and information as required.
  4. Work closely with billing and coding staff to ensure accurate and compliant claims submission.
  5. Verify insurance eligibility and coverage for patients, obtaining pre-authorizations and referrals as needed.
  6. Monitor accounts receivable aging reports and prioritize collection efforts based on account status and aging.
  7. Collaborate with patients to resolve outstanding balances, establish payment plans, and provide financial counseling when necessary.
  8. Maintain accurate documentation of all interactions and correspondence related to accounts receivable and insurance follow-up.
  9. Stay informed of changes in healthcare regulations and insurance policies to ensure compliance and maximize reimbursement.


Qualifications:

  1. Ideally 1 year or more of experience in medical billing, accounts receivable management, or healthcare finance.
  2. Knowledge of medical terminology, billing codes (CPT, ICD-10), and insurance claim processing.
  3. Excellent communication skills, both verbal and written, with the ability to effectively interact with patients, insurance companies, and internal stakeholders.
  4. Detail-oriented with strong analytical and problem-solving skills.
  5. Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities and deadlines.




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