Legacy Health · 1 day ago
Account Follow-up Specialist 2-Professional Billing
Legacy Health is a healthcare organization seeking an Account Follow-up Specialist to manage complex billing issues. The role involves resolving delinquent payment issues, analyzing patient accounts, and ensuring compliance with billing regulations.
Hospital & Health Care
Responsibilities
Resolves delinquent payment issues of complex (high dollar and specialty) accounts requiring advanced knowledge of multi-payor system
Investigates and evaluates patient account information, medical records and bills, billing and reimbursement regulations
Analyzes each account using independent judgment deciding how to best proceed with follow up to optimize reimbursement
Removes barriers to processing claims
Rebills, transfers payments, requests refunds and or adjusts misapplied payments as necessary
Understands and follows Legacy procedures for writing off balances and adjustments
Submits reconsiderations and or appeals as appropriate for denied claims
Qualification
Required
High school graduate or equivalent
Two years of directly applicable healthcare business office experience (billing/credit/collection) required
Demonstrates problem-solving and decision-making skills
Understands complex collection issues for UB04's and CMS-1500 claims
Knowledge of multi-payor systems
Knowledge of billing/collection rules and regulations
Knowledge of online systems for eligibility and status review of claims
Familiarity with billing software and electronic medical records including Microsoft suite products and 10 key proficiency
Knowledge of medical terminology
Ability to resolve billing issues and handle denied claims
Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines
Demonstrated effective interpersonal skills which promote cooperation and teamwork
Ability to withstand varying job pressures and organize/prioritize related job tasks
Excellent verbal and written communication skills
Ability to adapt to change
Company
Legacy Health
Good health for our people, our patients, our communities and our world.
Funding
Current Stage
Late StageLeadership Team
Recent News
Fierce Healthcare
2025-06-06
2025-05-31
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