Insurance Follow-up Specialist

4 weeks ago

Glendale, United States GetixHealth Full time

Schedule:

  • Monday - Friday
  • Shift can be a consistent 8 hour shift between the hours of 5:00am to 5:00pm local time
  • Compensation: $18 - $20/hr based on experience; Quarterly Bonus Eligible

Principal Responsibilities

  • Follow-up with Out-of-State Medicaid billed claims regarding claim status and resolution of payments in a timely manner.
  • Thoroughly review all notes in patient accounts for potential benefit eligibility.
  • Access client systems to determine eligibility and filing status in order to prepare claims for billing.
  • Request necessary documents from client to perform billing.
  • Responsible for accurately tracking payments and payment verifications.
  • Contact patients when additional information is required to complete billing.
  • Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
  • Dependent upon position, identify root cause of issues and concerns, determine resolution, and refer to Management.
  • Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations relating to job duties.
  • Knowledge, understanding, and compliance with company policies and procedures.
  • Provide feedback to management concerning possible problems or areas of improvement.
  • Make recommendations to implement improved processes.
  • Perform other duties as assigned by management.

Experience and Education Requirements

  • High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired.
  • Previous Out-of State Medicaid billing/customer service experience preferred.
  • Proficient personal computer skills, including Microsoft Office.
  • Typing speed of 45 - 55 words per minute.
  • Attention to details and excellent organizational skills.
  • Excellent interpersonal, written, and oral communication skills.
  • Ability to work in a team fostered environment.
  • Ability to prioritize and organize work in a multitasked environment.
  • Ability to adapt to a flexible schedule.
  • Ability to maintain the highest level of confidentiality.

Work Environment

  • Onsite office environment.
  • Ability to lift and/or move 20 pounds with or without accommodation.

Benefits

  • PTO
  • One personal day annually
  • Paid holidays
  • k with match
  • Paid 20K Employee Life Insurance
  • Paid Employee Long-Term Disability
  • Medical, Vision, Dental
  • Short-Term Disability

GetixHealth is an Equal Opportunity and E-Verify Employer.

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