Account Follow-up Specialist II

SupportFinity™; Portland (OR); On-site; USD 30,141 - 43,077; Full time

Job summary

SupportFinity™ is seeking an Account Follow‑up Specialist to resolve delinquent payment issues in a fast-paced healthcare environment. You'll use your advanced knowledge of multi‑payer systems to analyze accounts and optimize reimbursement efficiently.

The ideal candidate has a high school diploma and two years of healthcare business office experience, along with strong problem-solving and communication skills. Join us to support our commitment to providing effective healthcare solutions in Portland, Oregon.

Qualifications

• Two years of directly applicable healthcare business office experience (billing/credit/collection) required.
• Ability to work efficiently with minimal supervision.

Responsibilities

• Resolve delinquent payment issues of complex accounts.
• Investigate patient account information and medical records.
• Analyze accounts using independent judgment for follow-up.

Skills

Problem-solving skills

Knowledge of multi-payer systems

Billing/collection rules knowledge

Communication skills

Ability to resolve billing issues

Effective interpersonal skills

Adaptability to change

Education

High school graduate or equivalent

Tools

Microsoft suite products

Job description

In the complex web of health care insurance and claims you are a calm, organized problem‑solver. With advanced knowledge of the multi‑payer system you resolve delinquent payment issues. Your ability to communicate clearly, collaborate with others, and maintain respect for all parties involved reflects the Legacy mission.

We invite you to apply for our Account Follow‑up Specialist role.

Responsibilities

• Resolve delinquent payment issues of complex (high dollar and specialty) accounts requiring advanced knowledge of the multi‑payer system.
• Investigate and evaluate patient account information, medical records, bills, and billing and reimbursement regulations.
• Analyze each account using independent judgment to decide how best to proceed with follow‑up to optimize reimbursement.
• Remove barriers to processing claims.
• Rebills, transfer payments, request refunds, and adjust mis‑applied payments as necessary.
• Understand and follow Legacy procedures for writing off balances and adjustments.
• Submit reconsiderations and/or appeals as appropriate for denied claims.

Education

• High school graduate or equivalent.

Experience

• Two years of directly applicable healthcare business office experience (billing/credit/collection) required.

Skills

• Demonstrates problem‑solving and decision‑making skills.
• Understands complex collection issues for UB04’s and CMS-1500 claims.
• Knowledge of multi‑payer systems.
• Knowledge of billing/collection rules and regulations.
• Knowledge of online systems for eligibility and status review of claims.
• Familiarity with billing software and electronic medical records including Microsoft suite products and 10‑key proficiency.
• Knowledge of medical terminology.
• Ability to resolve billing issues and handle denied claims.
• Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines.
• Demonstrated effective interpersonal skills which promote cooperation and teamwork.
• Ability to withstand varying job pressures and organize/prioritize related job tasks.
• Excellent verbal and written communication skills.
• Ability to adapt to change.

Pay Range

USD $21.88 – USD $31.27 /hr.

Our Commitment to Health and Equal Opportunity

Legacy Health is an equal‑opportunity employer and prohibits unlawful discrimination and harassment of any type. We are committed to fostering an inclusive environment where everyone can grow and succeed.

To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you