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Insurance Follow-up Specialist

GetixHealth
Lakeland, FL Full Time
POSTED ON 10/27/2023 CLOSED ON 12/4/2023

What are the responsibilities and job description for the Insurance Follow-up Specialist position at GetixHealth?

Follow up on billed insurance claims to facilitate payment. Identify and obtain all necessary information and documentation and prepare claims for insurance billing.

This position requires experience consistently contacting medical insurance providers to follow-up on claims, and resolving any issues until they are paid. Experience with medical billing and coding is acceptable. A minimum of 1 year of dedicated experience of either is required - no exceptions.

INSURANCE VERIFICATION EXPERIENCE ONLY DOES NOT QUALIFY.

Compensation:  $16 - $18/hour based on experience; this position is also eligible for quarterly bonuses.

POSITION RESPONSIBILITIES

  • Follow-up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner.
  • Experience with billing and coding is acceptable.
  • Experience with submitting appeals and EOB is REQUIRED.
  • Thoroughly review all notes in patient accounts for potential insurance benefit eligibility.
  • Access client systems to determine insurance eligibility and filing status in order to prepare claims for billing.
  • Request necessary documents from client to perform insurance billing.
  • Responsible for accurately tracking payments and payment verifications.
  • Contact patients when additional information is required to complete billing.
  • Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
  • Dependent upon position, identify root cause of issues and concerns, determine resolution, and refer to Management.
  • Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations relating to job duties.
  • Knowledge, understanding, and compliance with company policies and procedures.
  • Provide feedback to management concerning possible problems or areas of improvement.
  • Make recommendations to implement improved processes.
  • Perform other duties as assigned by management. 

QUALIFICATIONS

  • High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired.
  • Previous healthcare insurance follow-up experience HIGHLY PREFERRED
  • Previous insurance/medical billing/coding experience preferred
  • Proficient personal computer skills, including Microsoft Office
  • Excellent interpersonal, written, and oral communication skills
  • Ability to work in a team fostered environment
  • Ability to prioritize and organize work in a multitasked environment
  • Ability to adapt to a flexible schedule
  • Ability to maintain the highest level of confidentiality

WORK ENVIRONMENT

  • Office environment / ONLY applicants residing outside of Polk County may be remote.
  • Ability to lift and/or move 20 pounds with or without accommodation.

BENEFITS

  • PTO, Personal Holiday, Paid Holidays, Quarterly Bonus Eligible
  • Company paid Long-Term Disability and Basic Life Insurance for Employee
  • Medical, Vision, Dental, Short-Term Disability, Accident, Hospital Indemnity, Critical Care, Voluntary Life Insurance, Discount Program

GetixHealth is an equal employment opportunity and e-verify employer.

Salary : $16 - $18

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