What are the responsibilities and job description for the Insurance Follow-Up Specialist position at The Menninger Clinic?
Hours/Days: M-F, 8 am to 5 pm
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.
Maintains 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.
Provides administrative services for patients; assist staff members, as needed.
- Assist Outpatient Administrative positions and functions, as needed.
- Schedule patient appointments for Outpatient visits.
- Assist clinicians with proper CPT coding selections.
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. Associates 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.
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