Insurance Collections / Follow-Up Specialist

Southwoods Health•Boardman, OH

4d•Onsite

About The Position

Southwoods Health is seeking an Insurance Collections Specialist to join our team at the Southwoods Executive Centre. In this role, you will be responsible for corresponding with insurance carriers regarding aged and unpaid claims. Your goal is to secure and expedite payments through a proactive follow-up and appeals resolution process.

Requirements

Completed training or coursework in business office activities, computer skills, and medical terminology.
Comprehensive knowledge of the operational aspects of the revenue cycle and proven measures for resolving claim issues.
Proficiency in navigating online insurance portals; strong problem-solving and effective communication skills.
Commitment to maintaining a professional demeanor at all times, guided by strong ethical and moral principles.

Nice To Haves

Professional billing or collections certification is preferred.

Responsibilities

Insurance Carrier Correspondence: Contact insurance companies to determine the status of unpaid or denied accounts; prepare and file formal insurance appeals.
Documentation: Accurately note all contacts with insurance companies and patients within the patient's account; provide and send any necessary supporting documentation required for claim resolution.
Resolution & Research: Investigate insurance credit balances for resolution; research insurance newsletters and websites for the latest policy updates.
Process Improvement: Identify billing errors or needed changes in procedures and report them to the supervisor for correction.
Compliance: Ensure all processes within the assigned physician practice maintain compliance with regulatory agencies, including OSHA, ODH, BOP, and TJC.
Other Duties : Perform additional tasks as assigned to support the revenue cycle team.