What are the responsibilities and job description for the Medical Claims Follow Up Specialist position at Elite Physical Medicine and Rehabilitation?
Elite Physical Medicine is looking for an experienced claims follow up specialist. We are growing and need experienced, motivated, and enthusiastic individuals to join our team. Please note, this role is on location only.
Essential Functions:
- Thoroughly review and understand Explanation of Benefits (EOBs)
- Utilize payer websites & dedicated call centers for claim status and claim review.
- Review and follow up on claim denials timely and take appropriate actions to resolve accounts.
- Research claim facts for accuracy and request corrected claims as needed.
- Provide feedback on payer trends and issues prohibiting payment to Lead/Manager and report issues and concerns regarding account resolution to avoid write offs.
- Update demographic and insurance information in the billing system.
- Note changes in account status on an ongoing basis in a clear and concise manner. Properly note activities detailing the steps taken to resolve outstanding balance.
Experience and Education:
- High School Diploma or GED required; Associates Degree is preferred.
- Minimum of 1-3 years of claims follow up experience in a healthcare organization is required.
- Strong understanding of major insurance carriers including; HMOs, PPOs and government payers, Fluent in Medical Terminology.
- Recent experience working accounts including billing, collections, denials, and appeals.
- Ability to deal with patients and staff with tact and diplomacy.
- Ability to calmly handle multiple tasks at once.
- Good interpersonal skills.
Job Type: Full-time
Pay: $18.00 - $22.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
Salary : $18 - $22