FOLLOW-UP SPECIALIST (1133)

Memorial Health; Springfield (IL); On-site; USD 38,000 - 59,000; Full time

Benefits offered by this job

401(k) match

Health insurance

Paid time off

Job summary

Memorial Health seeks an Account Follow-Up Specialist to manage outstanding payments across open medical insurance claims and to coordinate with external insurers for balance resolution. The role emphasizes compliance with MMC standards and hospital billing practices to support efficient revenue cycle operations.

The candidate should have 2+ years in medical billing, knowledge of CPT/ICD-9 coding, and proficiency with electronic billing systems and Microsoft Office.

Qualifications

• Education equivalent to graduation from high school or GED is required.
• Two or more years of medical insurance and/or health care billing experience is required.
• Demonstrates knowledge of CPT and ICD-9-CM coding and hospital billing forms.

Responsibilities

• Follows up on outstanding payments on all types of open medical insurance claims.
• Coordinates activities with external insurance companies for resolution of patient account balances.
• Ensures compliance with managed care guidelines and Memorial Health policies.

Skills

Communication skills

Prioritization

Critical thinking

Problem solving

Telephone etiquette

Education

High school diploma or GED

Tools

Electronic billing system

Microsoft Word

Microsoft Excel

Job description

Focused on the Future of Care

We're looking for talented, passionate healthcare professionals to join the team at Memorial Health as we build the future of healthcare. If you're ready to be part of a transformative organization that puts people first, take a look at what we have to offer.

Position Type

On-site

Position Summary

Follows up on outstanding payments due on all types of open medical insurance claims, i.e., managed care and commercial. Coordinates activities with external insurance companies for the resolution of patient account balances. Ensures compliance with managed care guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Job Description

Education

Education equivalent to graduation from high school or GED is required.

Experience

Two or more years as an Account Follow-Up Specialist, or comparable years of medical insurance and/or health care billing experience is required.

Possesses the technical knowledge to independently process claims of any denomination, type, and complexity is required.

Other Knowledge/Skills/Abilities

• Demonstrates thorough knowledge of the electronic billing system, medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, DRGs and hospital billing claim form UB-04 is required.
• Demonstrates a thorough knowledge of contract management systems and Blue Cross and Tricare guidelines.
• Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.
• Ability to work within the guidelines of defined managed care contract policy provisions and company procedures.
• Demonstrated ability to work successfully with internal customers and external contacts is required.
• Possesses highly-developed prioritization and organization skills and critical thinking and problem solving ability.
• Demonstrates excellent communication skills, including telephone etiquette, and keyboarding and basic math skills.

Pay Transparency

$18.34 - $28.42

Additional compensation in the form(s) of participation in our annual incentive program are dependent on role. Pay is based on factors such as work experience, education, certification(s), training, skills, and competencies related to the role.

Benefits

Memorial Health also offers a comprehensive benefits plan, which includes paid time off, 401(k) match, and health/ dental/ vision insurance options.

All benefits can be found at https://jobs.memorial.health/about/benefits/

Accommodation

If you require a reasonable accommodation to complete this application or participate in the hiring process, please contact [e-mail]. Requests will be handled confidentially.