Insurance Billing Specialist - Medicare & Medicaid Denial And Appeals

TEKsystems•West Des Moines, IA

3d•$19 - $22•Remote

About The Position

TEKsystems has a current opening for a remote insurance follow up/medical billing candidate. Qualified individuals will have a minimum of 2 years of experience with Iowa and/or Illinois Medicaid and Medicare insurance follow up experience. Description Daily Duties: Work with centralized cash posting team to resolve missing or unposted remite Ensure all claims are accurately transmitted daily and all appropriate documentation is sent when required Verify eligibility and claims status on unpaid claims Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication Work accounts in assigned queues in accordance with departmental guidelines Work directly with third party payers and internal/external customers toward effective claims resolution.

Requirements

High School graduate or equivalent
Must have Iowa and/or Illinois Medicaid payer experience
Physician Billing and Denial/Follow Up experience - 2+ years
EPIC experience
Payer portal claim corrections and reconsiderations knowledge
- ex. Availity
Work from home space required

Responsibilities

Work with centralized cash posting team to resolve missing or unposted remite
Ensure all claims are accurately transmitted daily and all appropriate documentation is sent when required
Verify eligibility and claims status on unpaid claims
Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication
Work accounts in assigned queues in accordance with departmental guidelines
Work directly with third party payers and internal/external customers toward effective claims resolution.