Insurance Follow-up Specialist

Olympic Sports•Tacoma, WA

47d

About The Position

Olympic Sports and Spine (OSS) is looking for an experienced Insurance Follow-up Specialist. This position is responsible for medical insurance follow-up to ensure accounts have been appropriately billed and reimbursed. Duties include contacting assigned insurance companies to secure and expedite payments through the insurance follow-up and appeals process. Experience in patient accounting functions, including billing, follow-up, collections, addressing patient concerns, cash application, and resolving credit balances, is preferred. We want a candidate who excels at working in a fast-paced medical billing office and wants to work for a company that is committed to providing quality customer service and care to our patients, being a great employer to our employees, and wants a job with no weekends required (Monday - Friday, 8 am - 5 p.m.).

Requirements

Extensive insurance billing, follow-up experience,
Strong interpersonal skills, sound judgment & decision-making, and strong analytical skills.
Persuasive customer service skills,
Effective written and oral communication skills,
Capable of working independently,
Ability to prioritize and organize daily tasks,
Ability to always represent OSS professionally,
Secure patients' demographics and medical information with strict confidentiality, and ensure all procedures comply with HIPAA regulations.

Nice To Haves

Previous experience working in health care insurance follow-up (is preferred, but not necessary)
Experience in patient accounts receivable/collections (is preferred but not necessary)

Responsibilities

Review patient financial information to verify that third-party payer requirements have been met and that financial coding is correct.
Audit information on third-party claim forms for accuracy and completeness; transmit claims to third-party payers, including using a direct entry claims interface system.
Prepare and enter allowances and adjustments to patient accounts in accordance with third-party payer requirements and department procedures.
Access major payers' computer files online to obtain eligibility and claim processing information.
Contact patients and payers by telephone to resolve account balances.
Process appropriate transactions to correct inaccurate account balances.
Prepare correspondence to address account concerns.
Analyze delinquent accounts for billing and payment history, and determine the appropriate follow-up procedure based on departmental guidelines.
Analyze financial information provided by patients to determine their ability to make payment; advise patients on appropriate payment plans.
Prepare accounts for transmittal to collection agencies when department collection efforts are deemed unsuccessful.
Process according to department procedure accounts that have been identified as returned mail, bankrupt, or deceased patients.
Post and balance daily remittances to patient accounts; post allowances and adjustments accompanying cash remittances.