Revco Solutions · 15 hours ago
Insurance Follow-Up Specialist
United States
Full-time
Remote
Entry, Mid Level
$19/hr - $22/hr
2+ years expRevco Solutions is seeking an Insurance Follow-Up Specialist responsible for ensuring the timely and accurate resolution of outstanding insurance claims, particularly with Blue Cross Blue Shield accounts. The role involves investigating unpaid claims, communicating with insurance carriers, and maintaining documentation to maximize reimbursement and support the revenue cycle.
FinanceHealth Care
Responsibilities
Conduct detailed analysis and follow-up on outstanding insurance claims (both commercial and government), ensuring timely and accurate resolution in accordance with payer guidelines
Research and resolve claim denials, rejections, and underpayments by initiating appropriate billing corrections, appeals, and resubmissions
Prepare and submit claim documentation—including EOBs, itemized statements, and medical records—as required by payers to support claim adjudication
Respond to payer and patient inquiries related to delinquent claims, maintaining compliance with privacy regulations and payer contract guidelines
Utilize payer portals, Electronic Health Records (EHR), and patient accounting systems to investigate claim status, post notes, and manage follow-up activities
Identify trends in denials and payment delays, contributing to process improvement initiatives and strategies for reducing AR days
Maintain accurate and detailed records of account activity, ensuring that production goals and quality standards are consistently met or exceeded
Demonstrate strong communication skills when interacting with insurance representatives, patients (as appropriate), and internal departments to resolve outstanding issues
Prioritize and organize daily workload effectively to meet departmental benchmarks in a fast-paced, high-volume environment
Provide support on special projects and additional assignments as requested by management
Qualification
Required
2 years of previous experience working with commercial or other third-party insurance claims, medical billing/follow-up, BCBS experience is a plus
An understanding of various forms, codes (CPT & ICD), insurance terminology and insurance company remittance advice
Preferred
EPIC experience preferred but not required
Certificates, Licenses, Registrations, and/or Medicare certification are a plus, but not required
Company
Revco Solutions
Revco Solutions is a revenue cycle management company serving hospitals, physician groups and other constituents in healthcare community.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Angela Stokes, MBA
Chief Human Resources Officer
Brad Rounding
Chief Information Officer
Recent News
2023-09-13
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