[Hiring] Insurance Follow-Up Specialist @Altru Health System

Role Description

The Insurance Follow Up Specialist assists patients with inquiries for the clinic and hospital billing system and reviews and submits insurance claims. The specialist monitors insurance EOB's and denials, ensuring proper payment is made. This position tracks pending eligibilities and unpaid claims, and works credit balances and payment work queues.

• Reviews and monitors insurance EOBs and denials to ensure proper payment.
• Edits, prepares, and submits insurance claims to the appropriate party.
• Assists patients with billing inquiries via written communication, telephone, or in person.
• Tracks pending eligibility and unpaid claims and manages credit balances and underpayment work queues.
• Pursues reimbursement from carriers through phone calls and documents contacts in an electronic tracking system.
• Coordinates third-party collections and works towards reducing outstanding balances.
• Conducts insurance follow-up on all final billed claims.
• Manages claims in assigned worklists to meet or exceed productivity standards.
• Ensures timely submission of claims to the responsible party within filing limit guidelines.
• Communicates with insurance payors by telephone or online regarding non-payment.
• Reviews and edits rejections from electronic billing submissions, correct, and resubmit claims.
• Verifies the accuracy of patient insurance and demographic information.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Qualifications

• Preferred: Associates - Business Administration/Management- OR -Associates - Related Field
• Required: A minimum of 2 years Related Experience

Requirements

• This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Physical Demands

• Sit: Frequently (34-66%)
• Stand: Occasionally (5-33%)
• Walk: Occasionally (5-33%)
• Stoop/Bend: Rarely (1-4%)
• Reach: Frequently (34-66%)
• Crawl: Not Applicable
• Squat/Crouch/Kneel: Rarely (1-4%)
• Twist: Occasionally (5-33%)
• Handle/Finger/Feel: Continuously (67-100%)
• See: Continuously (67-100%)
• Hear: Continuously (67-100%)

Weight Demands

• Lift - Floor to Waist Level: Sedentary (<10 pounds)
• Carry: Sedentary (<10 pounds)
• Push/Pull: Sedentary (<10 pounds)
• Slide/Transfer: Not Applicable

Working Conditions

• Indoor: Continuously (67-100%)
• Outdoor: Not Applicable
• Extreme Temperature: Not Applicable

Driving Requirement

• Infrequent Driver

Benefits

• Comprehensive benefits package for full- and part-time employees.
• Health plan and 401(k) retirement plan.
• Dental plan.
• Vision plan.
• Life and disability insurance.
• Education assistance.
• Paid time off (PTO).