Insurance Follow-up Specialist - Remote

GetixHealth, LLC; Washington (District of Columbia); Remote; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a detail-oriented individual for a role focused on insurance billing and claims management. This position involves following up with insurance companies, ensuring accurate documentation, and maintaining compliance with relevant laws and regulations. Ideal candidates will possess excellent communication skills and the ability to work in a team environment. If you are a self-starter who thrives in a dynamic setting and is eager to contribute to organizational success, this opportunity is perfect for you.

Qualifications

• High School Diploma or equivalent work experience is desired.
• Previous experience in insurance/medical billing preferred.

Responsibilities

• Follow up with insurance companies on claims and payment resolutions.
• Review patient accounts for insurance benefit eligibility.
• Ensure compliance with laws and company policies.

Skills

Interpersonal Skills

Written Communication

Oral Communication

Detail Oriented

Team Player

Self-Starter

Education

High School Diploma or GED

Job description

Job Responsibilities

• Follow up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner.
• Thoroughly review all notes in patient accounts for potential insurance benefit eligibility.
• Access client systems to determine insurance eligibility and filing status in order to prepare claims for billing.
• Request necessary documents from client to perform insurance billing.
• Responsible for accurately tracking payments and payment verifications.
• Contact patients when additional information is required to complete billing.
• Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
• Identify root cause of issues and concerns, determine resolution, and refer to Management as necessary.
• Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations relating to job duties.
• Knowledge, understanding, and compliance with company policies and procedures.
• Provide feedback to management concerning possible problems or areas of improvement.
• Make recommendations to implement improved processes.
• Perform other duties as assigned by management.

Minimum Qualifications

• High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired.
• Previous insurance/medical billing/customer service experience preferred.
• Excellent interpersonal, written, and oral communication skills.
• Ability to work in a team fostered environment.
• Ability to prioritize and organize work in a multitasked environment.
• Ability to adapt to a flexible schedule.
• Ability to maintain the highest level of confidentiality.
• Ability to lift and/or move 20 pounds with or without accommodation.

Skills

• Thought Provoking: Capable of making others think deeply on a subject.
• Team Player: Works well as a member of a group.
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well.

Motivations

• Self-Starter: Inspired to perform without outside help.
• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization.

GetixHealth is an equal employment opportunity employer.