[Hiring] Hospital Billing Follow-Up Specialist @Salinas Valley Health

Role Description

The Temporary Hospital Billing Follow-Up Specialist is responsible for supporting Patient Financial Services by reviewing outstanding claims, performing timely follow-up with payers, correcting claim errors, and ensuring accurate and prompt reimbursement. This temporary role assists in reducing aging accounts receivable and supports workflow backlogs.

• Claims Follow-Up:
  • Review assigned aging accounts and identify claims requiring follow-up.
  • Contact insurance payers (commercial, Medicare, Medicaid, Managed Care, etc.) via phone, portals, and written correspondence.
  • Document payer responses and next steps accurately within the billing system.
• Claims Resolution & Corrections:
  • Correct and resubmit denied or rejected claims as needed.
  • Research missing information, obtain medical records, or request coding updates when necessary.
  • Resolve billing discrepancies and ensure claims meet payer requirements, which could include the handling of provider disputes.
• Account Documentation:
  • Maintain detailed notes of all actions taken in the patient account record.
  • Update account statuses and escalate complex issues to Management.
• Internal Communication:
  • Communicate with internal departments (coding, registration, medical records) to resolve claim-related issues.
  • Notify Management of any payer trending issues or concerns.
• Productivity & Compliance:
  • Meet daily/weekly productivity and quality standards.
  • Follow HIPAA, hospital policies, and billing compliance guidelines.

Qualifications

• High school diploma or equivalent.
• Experience in medical office billing or hospital revenue cycle, and familiar with insurance follow-up (typically 3+ years).
• Knowledge of CPT, ICD-10, HCPCS codes, and standard billing concepts.
• Ability to work with billing software/EMR systems.
• Strong communication and problem-solving skills.
• Preferred: Experience with Medicare/Medicaid and Commercial payer plans and portals.
• Previous hospital billing or A/R follow-up experience.
• Understanding of denial management workflows.
• Meditech experience.

Requirements

• Attention to detail and accuracy.
• Ability to manage multiple accounts and meet deadlines.
• Strong communicative mindset.
• Analytical thinking and ability to interpret payer remittances.
• Proficiency with spreadsheets and billing platforms.

Work Environment

• Office or remote (depending on expertise of worker).
• Standard work hours (Monday – Friday 8:00am – 4:30pm), with flexibility needed depending on department workload.
• Fast-paced, high-volume environment requiring high productivity.