Insurance Billing Follow-up Specialist jobs in United States
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Reid Health · 5 hours ago

Insurance Billing Follow-up Specialist

Reid Health is a healthcare organization seeking an Insurance Billing Follow-up Specialist to manage billing and follow-up activities within their revenue cycle operations. The role involves ensuring timely insurance claims processing and maintaining compliance with relevant regulations.

Health Care
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H1B Sponsor Likelynote

Responsibilities

Verifies insurance coverage by investigation or interview
Follows up on accounts with insurance payers in a timely manner to avoid timely filing losses
Adds account notes in Epic as appropriate and per department expectations
Works an acceptable number of accounts based on department productivity standards
Utilizes telephone contacts, faxes, Internet, or other methods to follow up with payers
Reviews insurance credit balances and refunds payer when appropriate
Engages management when a claim is approaching the timely filing limit and is unsure how to get it paid or if the insurance/other responsible party is unresponsive
Requests and completes re-bills as necessary
Notifies management when payers are unresponsive
Responds to requests for information from patients or payers about claims or coverage
Actively participates in payer representative meetings to resolve issues
Follows compliance with laws, regulations, and guidelines of federal and state programs, emphasizing fraud, waste, and abuse prevention
Completes other duties and projects as assigned to support department goals
Actively participates in area and department meetings
Attends other meetings as requested

Qualification

Medical billingInsurance knowledgeEpicGovernment programs knowledgeCommunication

Required

High School Diploma
2-3 years of experience in medical billing or insurance

Preferred

Knowledge of government medical programs such as Medicare, Medicaid, Champus, etc., and the associated payment methodologies

Company

Reid Health

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Reid Hospital is a not-for-profit 217-bed regional referral medical center serving east central Indiana and west central Ohio.

H1B Sponsorship

Reid Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2020 (1)

Funding

Current Stage
Late Stage

Leadership Team

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Craig Kinyon
President/CEO
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Christopher Knight
CFO
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Company data provided by crunchbase