Hospital Billing Follow-up - Remote Position - Full Time - $30.00

Hospital Billing Follow-up - Remote Position - Great Hospital - $30.00

1. Claims Follow-Up
•Review assigned aging accounts and identify claims requiring follow-up.
•Contact insurance payers (commercial, Medicare, Medicaid, Managed Care, etc.) via phone, portals, and written correspondence.
•Document payer responses and next steps accurately within the billing system.
2. Claims Resolution & Corrections
•Correct and resubmit denied or rejected claims as needed.
•Research missing information, obtain medical records, or request coding updates when necessary.
•Resolve billing discrepancies and ensure claims meet payer requirements, which could include the handling of provider disputes.
3. Account Documentation
•Maintain detailed notes of all actions taken in the patient account record.
•Update account statuses and escalate complex issues to Management.
4. Internal Communication
•Communicate with internal departments (coding, registration, medical records) to resolve claim-related issues.
•Notify Management of any payer trending issues or concerns.
5. Productivity & Compliance
•Meet daily/weekly productivity and quality standards.
•Follow HIPAA, hospital policies, and billing compliance guidelines.

The Temporary Hospital Billing Follow-Up Specialist is responsible for supporting Patient Financial Services by reviewing outstanding claims, performing timely follow-up with payers, correcting claim errors, and ensuring accurate and prompt reimbursement. This temporary role assists in reducing aging accounts receivable and supports workflow backlogs.

1. Claims Follow-Up
•Review assigned aging accounts and identify claims requiring follow-up.
•Contact insurance payers (commercial, Medicare, Medicaid, Managed Care, etc.) via phone, portals, and written correspondence.
•Document payer responses and next steps accurately within the billing system.

2. Claims Resolution & Corrections
•Correct and resubmit denied or rejected claims as needed.
•Research missing information, obtain medical records, or request coding updates when necessary.
•Resolve billing discrepancies and ensure claims meet payer requirements, which could include the handling of provider disputes.

3. Account Documentation
•Maintain detailed notes of all actions taken in the patient account record.
•Update account statuses and escalate complex issues to Management.

4. Internal Communication
•Communicate with internal departments (coding, registration, medical records) to resolve claim-related issues.
•Notify Management of any payer trending issues or concerns.

5. Productivity & Compliance
•Meet daily/weekly productivity and quality standards.
•Follow HIPAA, hospital policies, and billing compliance guidelines.

Skills & Competencies
•Attention to detail and accuracy
•Ability to manage multiple accounts and meet deadlines
•Strong communicative mindset
•Analytical thinking and ability to interpret payer remittances
•Proficiency with spreadsheets and billing platforms

Skills & Competencies
•Attention to detail and accuracy
•Ability to manage multiple accounts and meet deadlines
•Strong communicative mindset
•Analytical thinking and ability to interpret payer remittances
•Proficiency with spreadsheets and billing platforms

Work Environment

• Office or remote (depending on expertise of worker)
• Standard work hours (Monday – Friday 8:00am – 4:30pm), with flexibility needed depending on department workload
• Fast-paced, high-volume environment requiring high productivity

Required
•High school diploma or equivalent.
•Experience in medical office billing or hospital revenue cycle, and familiar with insurance follow-up (typically 3 year).
•Knowledge of CPT, ICD-10, HCPCS codes, and standard billing concepts.
•Ability to work with billing software/EMR systems.
•Strong communication and problem-solving skills.

Required:

• 1 year of Physician or Hospital billing and/or follow-up experience
• Be able to be onsite, remote and either full time or part time

§  If full time M-F 8a-430pm-PST

§  If part time M-F 3 hours per day (min per week = 18 hours, prefer a solid 20 hours per week)-PST

Education:
•High school diploma or equivalent

Experience:
•Experience in medical office billing or hospital revenue cycle, and familiar with insurance follow-up (typically 1 year).
•Knowledge of CPT, ICD-10, HCPCS codes, and standard billing concepts.
•Ability to work with billing software/EMR systems.
•Strong communication and problem-solving skills.

Preferred:

• Experience with Medicare/Medicaid and Commercial payer plans and portals.
• Previous hospital billing or A/R follow-up experience.
• Understanding of denial management workflows.
• Meditech experience.

***Salinas is specifically looking for candidates who have experience with Commercial, Worker’s Compensation and CHAMPUS payers***