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We are hiring for Health Insurance follow up specialists to support a growing healthcare company in the Waco area! As a specialist on our team you will be verifying insurance information, following up, doing research on insurance coverage, and updating patient information as appropriate as well as communicating with insurance companies and payors to support our clients.
Job Description & Duties :
The duties include working with payers to resolve issues and facilitate prompt payment of claims. Thorough knowledge and understanding of patient billing, claims submission, and payer specific requirements is a must.
This position is highly focused on the resolution of insurance processing errors and denials. Payers include but are not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.
Reduce outstanding accounts receivable by managing claims inventory
Speak to insurance companies in a professional?manner regarding patients outstanding balances
Gather information from patients, clients / family members, client clinical areas, government agencies, employers, third party payors and / or medical payment programs, etc.
both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.
determine financial responsibility and / or to identify sources of payment for services
Request, input, verify, and modify patients demographic, primary care provider, and payor information
Utilize tools, including computer programs, when indicated
Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures
Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review / updating of patient accounts, etc.
Input, retrieve, and modify information and data stored in computerized systems and programs; generate reports using computer software
Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
Work with Claims and Collections in order to assist patients and their families with billing and payment activities in order to increase cash flow
Day to Day Duties :
About TEKsystems :
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.
We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.
As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.
That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Last updated : 2024-05-24
Full Time
Business Services
$43k-55k (estimate)
05/26/2024
08/25/2024
teksystems.com
HANOVER, MD
1,000 - 3,000
1983
Private
JAY ALVATHER
$3B - $5B
Business Services
TEKsystems is an IT consulting firm that offers DevOps, cloud enablement, data analytics and cybersecurity services to businesses.
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