Denials & Follow Up Specialist

MicroGenDX • Lubbock, TX

18h • Onsite

About The Position

The Denials & Follow-Up Specialist is responsible for processing insurance follow up and denial claims in a timely manner. Performs outgoing calls to patients and insurance companies to obtain necessary information for accurate billing. Answers incoming calls from insurance companies requesting additional information and/or checking status of billings.

Requirements

• Knowledge of lab billing preferred but not required
• Focused and detail-oriented
• Ability to be responsive to ever-changing matrix of clinic/center needs and act accordingly.
• Typing skills equal to 30 words per minute
• Proficiency in performance of basic math functions
• Ability to communicate professionally and effectively in English, both verbally and in writing
• Knowledge of Microsoft Office products such as Word and Excel
• At least one year of experience with medical insurance denials preferably in a laboratory setting.

Nice To Haves

• Knowledge of lab billing

Responsibilities

• Works with insurance companies to ensure proper reimbursement on patient accounts.
• Depending on payer contract may be required to participate in conference calls and prepare accounts receivable reports, compiles the issue report in order to expedite resolution of accounts.
• Examines contract to ensure proper reimbursement, updates IT resources if system is not calculating payment accurately.
• Works follow up report daily, maintaining established goal(s), and notifies manager of issues preventing achievement of such goal(s).
• Follows up on daily correspondence (denials, underpayments) to appropriately work patient accounts.
• Assists customer service with patient concerns/questions to ensure prompt and accurate resolution is achieved.
• Produces written correspondence to payors and patients regarding status of claim, requesting additional information, etc.
• Reviews previous account documentation, determining appropriate action(s) necessary to resolve each assigned account.
• Initiates next billing, follow-up and/or collection step(s), this is not limited to calling patients, insurers or employers, as appropriate.
• Documents billing, follow-up and/or collection step(s) that are taken and all measures to resolve assigned accounts, including escalation to manager if necessary.
• Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed