Insurance Follow-up Specialist

Lutherville Timonium, MD
Apr 24, 2021
May 05, 2021
Accountant, IT
Full Time
Description Cognizant Technologies and Bolder Healthcare are seeking an Insurance Follow-up Specialist to work for one of its clients in Timonium, MD. The Insurance Follow-up Specialist is responsible for hospital and physician billing and collecting. The duties include working with payers to resolve issues and facilitate prompt payment of claims. 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. Permanent schedule: Monday-Friday, 8:00am-4:30pmDuties and Responsibilities include the following and any other duties as assigned by the supervisor:Verifying of health insurance benefits to ensure coverage and eligibility prior to claims submissionFollow-up regarding claim statusIdentifying and resolving any and all outstanding issues preventing claim resolution Ensure all required statements have been sent on accounts handled and request statements as necessaryProperly handle all patient disputes, by obtaining all pertinent information and noting dispute on account and escalating to supervisor as necessaryAssists in making outbound calls when necessaryPerforms other activities and responsibilities as assigned Job RequirementsMust have collection experience in a hospital or agency environment with a proven track record of success in billing, reimbursement and follow upExperience working with UB 04 and HCFA 1500 claims is preferredExperience utilizing IDC-10, CPT and HCPC coding systems and materials is preferredComprehensive knowledge of insurance plans, member eligibility and medical billing is preferredStrong background in Medicare and Medicaid claims processing and reimbursement is preferredAbility to create reimbursement claims and transfer to third-party payers Ability to synthesize complex or diverse information; collect and research data; use intuition and experience to complement data; design work flows and proceduresCompetent in required job skills and knowledge; uses resources effectivelyDemonstrate required skills; adapt to new technologies; troubleshoot technological problems; use technology to increase productivity; keep technical skills up to dateShould be able to identify and resolve problems in a timely manner; gather and analyze information skillfully; develop alternative solutions; work well in group problem solving situations; use reason even when dealing with emotional topicsManage difficult or emotional customer situations; respond promptly to customer needs; solicit customer feedback to improve service; respond to requests for service and assistance; meet commitmentsExpress ideas and thoughts verbally; express ideas and thoughts in written form; exhibit good listening and comprehension; keep others adequately informed; select and use appropriate communication methodsSpeak clearly and persuasively in positive or negative situations; listen and get clarification; respond well to questionsEducation and/or ExperienceMust have experience working with medical billing and insurance follow-upHigh school diploma is requiredIND123