Hospital Billing Follow-Up Specialist - Temporary

Salinas Valley Health•Salinas, CA

About The Position

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.

Requirements

High school diploma or equivalent.
Experience in medical office billing or hospital revenue cycle, and familiar with insurance follow-up (typically 3+ year).
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.

Nice To Haves

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.

Responsibilities

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.