Insurance Follow-up Specialist

Responsibilities

• Submit third party payer primary, secondary, tertiary and corrected claims utilizing electronic billing software.
• Reconcile all confirmation reports post-electronic submission from all third party payers.
• Evaluate and process the needed corrections and revalidate the claim electronically.
• Analyze and take appropriate action on payer rejections and denials.
• Aggressively performs follow-up and collections from the third party payers.
• Verify payments though manage care payer software for accuracy and aggressively pursue collections on underpayments.
• Negotiates reimbursement rates with non-contracted third party payers and case managers.
• Stays current on rules and regulations affecting billing, reimbursement and submission of claims.
• Process correspondence received from third party payers and patients.
• Performs other related responsibilities as required or requested.
• Demonstrates service excellence.