Healthcare Billing Claims Follow Up Specialist
| Company | Sandstone Care |
|---|---|
| Location | Virginia, USA, Colorado, USA, Maryland, USA, Illinois, USA |
| Salary | $20 – $24 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Mid Level, Senior |
Requirements
- Must have a minimum of 3-5 years of hands-on experience in a fast-paced medical billing environment
- Must have previous experience in a healthcare setting
- Must have previous experience with CPT and ICD-10
- Must have solid PC and application skills
- The ability to handle a very high volume of work with speed and accuracy is essential
- Must have the ability to understand and apply contract language to billing
- Must have the ability to communicate in a professional manner internally and with payers
- Must have experience in complex denials and appeal processes
Responsibilities
- Responsible for the follow-up on unpaid or rejected insurance claims for assigned carriers and will work with insurance companies, and/or staff to resolve account issues
- Responsible for submitting corrected claims for the team
- Responsible for the escalation appeal process for complex rejected claims, going above and beyond to support clients and families in need
- Responsible for complex claim issues
- Responsible for any escalation projects assigned by direct manager
Preferred Qualifications
- Proven ability in collections and negotiation is highly preferred