Insurance Billing Specialist

TEKsystems•Linn Township, IA

3d•Remote

About The Position

TEKsystems is seeking an Insurance Billing/Follow Up Specialist to join our clients team! Candidates should reside in Iowa, Illinois or Wisconsin - attention will be given to Midwest candidates. Candidates outside of the Midwest will not be considered. Candidates must have hospital billing experience as well as experience supporting a variety of payors and denials. Hospital billing follow up experience on claims is a requirement. This role works with commercial payers including but not limited to Aetna, Cigna, Midland’s Choice, Blue Cross Blue Shield, and United Healthcare and candidates must have similar experience. Epic experience is a requirement for this role. The Insurance Billing and Follow Up Specialist II will be responsible for performing all billing and follow-up functions, including the investigation of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that claims are paid in a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of data coming from multiple resources. To evaluate billing and follow-up issues appropriately, Reps will need to have an understanding of the entire Revenue Cycle and be able to interact with Government and Commercial insurances.

Requirements

High School graduate or equivalent
Hospital Billing and Denial/Follow Up experience - 2+ years
Hospital Billing Follow Up on claims - 2+ years
Denial experience - 2+ years
2+ years of working with payers including Aetna, Cigna, Midland’s Choice, Blue Cross Blue Shield, and United Healthcare
EPIC experience
Work from home space required

Responsibilities

Work with centralized cash posting team to resolve missing or unposted remits
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.