PFS Medical Insurance Follow Up Specialist I
About The Position
Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time The PFS Medical Insurance Follow-up Specialist I's general responsibilities include but are not limited to: • Accurately following up on medical insurance claims that have been billed to a variety of carriers • Adequately following up on claims to determine reason for claims denials and work to resolve claim for payment • Collaborate with various areas of revenue cycle and the organization to ensure accurate and timely follow-up on claims • Stay current on compliance and payer policies and share information with other caregivers within the organization. This position is employed by Mosaic Life Care.
Requirements
- H.S. Diploma is required.
- 2 years of non-clinical healthcare experience, preferably in revenue cycle preferred.
Nice To Haves
- Associate's Degree preferred.
Responsibilities
- Works daily to analyze the unpaid claims and denials.
- Identifies and investigates the reasons for non-payment and which action is needed to resolve in a timely manner.
- Performs various follow-up actions such as contacting insurance carriers by phone, checking payer websites, contacting patients when needed, and thoroughly documenting actions within the software system.
- Performs all other duties and special projects as assigned by departmental leaders.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
