What are the responsibilities and job description for the Insurance Follow-Up Specialist position at The Menninger Clinic?
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