Hospital Revenue Cycle Specialist-Insurance Follow-up (must reside in Texas)
A privately owned receivables management company formed in 1983 and headquartered in Houston, Texas, is seeking an Insurance Follow-up Specialist with experience. You could be part of a growing company that offers competitive base pay, plus incentives, and endless potential for growth.
Job Description
Candidate is responsible for following up directly with commercial and governmental payers to resolve medical claim issues, secure appropriate, and timely reimbursement.
Responsibilities
Initiates insurance follow up on aged, unresolved claims to ensure maximum reimbursement
Submits appeals and reconsiderations on claim rejections, underpayments, and denials
Engages the coding follow-up team for any medical necessity or coding related appeals
Sets follow-up activities based on status of the claim
Communicates identified payer trends such as denials for specific procedure, diagnosis codes, or other identified issues
Other duties as assigned
Qualifications
Must reside in Texas
Two years relevant experience in medical collections
Experience with Epic, Meditech, or Ace preferred
An understanding of revenue cycle
Demonstrate problem solving ability/analytical skills
Organized and detail oriented
Basic Microsoft Excel knowledge
Typing speed: 45+ WPM
US work authorization (required)
Must be able to pass background check and drug screen as permitted by law
Performance Expectations
Maintain professional, courteous treatment of clients, co-workers, and consumers
Demonstrated ability to interact professionally with management, subordinates, and clients to promote a positive company image
Meet FMAs standards for attendance and promptness
A strong sense of teamwork and cooperation with management and co-workers
Schedule
Part-time position
Full- time position
Flexible schedule; possible hours: 4-10 hour days (once production standards are met)
Education
High school or equivalent (preferred)
Benefits
401k (with employer matching for part-time employees)
Additional benefits for full-time employees
Job Type: Full-time
Pay: From $20.00 per hour
Benefits:
401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Monday to Friday
Application Question(s):
Do you live in Texas?
Experience:
Insurance follow-up: 2 years (Required)
Location:
Texas (Required)
Work Location: Remote
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