Insurance Follow-up Specialist
Health Partners Management Group · Poplar Bluff, MO · 5 mo ago
OTHRFull-time
ESSENTIAL DUTIES/RESPONSIBILITIES
- Obtain Claim Status via the Telephone, Internet and/or Fax
- Review and Interpret Contractual Terms for Managed Care, Commercial, Medicare, Medicaid and Workers’ Compensation
- Obtain Supporting Documentation Regarding Insurance Follow-up Efforts
- Identify Contractual and Administrative Adjustments Billing via Electronic and Hard copy Submission
REQUIREMENTS AND QUALIFICATIONS
- Education: High school diploma or equivalent. A minimum of two years previous work experience as an insurance follow-up representative or Accounting is required.
- Must have full understanding of insurance follow-up processes (i.e., Billing, Collections, Managed Care, Medicare, Medicaid, and Commercial Practices), and well-developed interpersonal skills. Experience in Anesthesia insurance follow up is a strong preference.
SKILLS
- Excellent verbal and written communication skills
- Reliable attendance record
- Knowledge of EOBs, CPT & ICD-9 codes, HCFAs, UB92s, HCPCS, DRGs and authorizations/referrals
- Good problem-solving skills
- Ability to learn / stay abreast of relevant policies
- Proficient computer skills
- Ability to type a minimum of 40 wpm
- Detail oriented and well organized
- Outstanding listening skills
- Ability to perform under pressure in a calm manner
- Basic math skills
- High degree of accuracy
- Positive attitude
- Flexible
- Team player