Insurance Follow-Up Specialist

Schedule: M-F 8:00a-5:00p, on-site at the Main Street Houston Location Key Functions * Manages the processing of commercial claims through account resolution * Work with third party carriers to obtain eligibility and out-of-pocket expenses. * Monitors claim status via telephone, internet, and/or fax. * Review and interpret contractual terms and explanation of benefits. * Identify and post contractual adjustments, third party payments, and out of pocket remittances. * Set up, maintain, and edit payment arrangements on patient accounts, as necessary. * Monitor and resolve delinquent accounts through the organization's collections process. * Processes credit balances and overpayments. * Maintain knowledge of information and functionality. * Observes all HIPAA required practices including, but not limited to, maintaining HIPAA compliance and confidentiality for all patient and clinic information. * Maintains knowledge of computer system functions as it pertains to Patient Accounts. * Enters patient demographics, insurance information, charges, and adjustments to Outpatient accounts. * Assist with other Revenue Cycle projects and other duties as requested. * Accepts additional assignments willingly. * Demonstrates an ability to respond to changing workloads. * Assists Utilization Review with initial authorizations and concurrent reviews. Education Required: High school diploma or equivalent required. Associate's degree in business or related field preferred License/Certification: Medical Billing Certificate, CRCR, CRCS, CHAA Preferred Experience Required: Two years of Revenue Cycle and hospital experience. Knowledge of Microsoft Office, including Word, Excel, and Outlook

Apply Now