TalentBridge

Summary

Growing Healthcare organization has immediate need for an experienced Accounts Receivable / Follow-up Specialists who are experienced in researching unpaid claims and following up on the insurance end. The ideal candidate will be compassionate and naturally helpful, willing to work through a problem to its successful conclusion.

• Responsibilities
  • Review unpaid claims and research reasons for delay
  • Initiate collection follow up of unpaid or denied claims with the appropriate payer
  • Research appeal and resolve claim rejections, underpayments and denials with payers
  • Process appeals by gathering information and resubmitting claims
  • Communicate payment or denial trending that impact revenue to leadership
  • Develop and maintain positive working relationships with team members and payer representatives
  • Contact insurance companies to work out any discrepancies and get the claims paid
  • Review outstanding accounts and aging report
  • Process any adjustments as needed

  Requirements: Education, Experience & Skills

  • High school diploma or equivalent required
  • 2+ years' experience with account follow up in a healthcare environment
  • Excellent verbal, written, and social skills
  • Ability to work overtime if and when needed.
  • Strong knowledge of explanation of benefits (EOB's)
  a daily basis