Medical Billing & Claims Follow Up Specialist

University of Colorado Medicine; Aurora (CO); Remote; USD 60,000 - 80,000; Full time

Job summary

A regional multi-specialty physician group practice is seeking a Medical Billing & Claims Follow-up Specialist to work remotely. Responsibilities include managing inquiries from insurance carriers, pursuing reimbursements, and identifying billing issues. Candidates should have a high school diploma and 1-2 years of experience in medical billing, along with proficiency in CPT and ICD-10. Strong communication and attention to detail are essential.

Benefits

Generous leave

Health plans

Retirement contributions

Qualifications

• Hands-on experience in a fast-paced medical billing environment (1-2 years).
• Familiarity with CPT and ICD-10 required; CPC certification is a plus.
• Ability to handle a high volume of work with speed and accuracy.

Responsibilities

• Respond to inquiries from insurance carriers with high customer service.
• Pursue reimbursement from carriers by contacting them and tracking progress.
• Coordinate third-party collections for outstanding balances.
• Identify and respond to patterns of denials or billing issues.
• Review uncollected accounts and prepare charge corrections.
• Appeal carrier denials by reviewing coding and medical records.
• Verify patient benefit eligibility and research necessary codes.
• Advise management on trends regarding insurance denials.

Skills

Strong communication skills

Attention to detail

Proven ability in collections and negotiation

Solid PC and application skills

Education

High school diploma

Job description

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado.

We are seeking a highly motivated Medical Billing & Claims Follow-up Specialist to join our Accounts Receivable team .

This job can be performed 100% remotely, and out of state candidates will be considered.

The Medical Billing & Claims Follow-up Specialist will:

• Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service.
• Pursue reimbursement from carriers by placing phone calls and recording all contact in an electronic tracking system to ensure progress is made on outstanding accounts.
• Coordinate third party collections and work toward the successful reduction in outstandingbalances for assigned divisions or projects.
• Identify and respond to patterns of denials or billing practices and perform complex account investigation as needed to achieve resolution.
• Review and resolve uncollected accounts and prepare charge corrections.
• Appeal carrier denials through review ofcoding, contracts, and medical records.
• Verify patient benefit eligibility/coverage and research ICD-10 diagnosis and CPT treatment codes as needed
• Advise management of any trends regarding insurance denials in an effort to identify problems with particular payers.
• Complete required reports and assist with special projects as assigned.

Requires a high school diploma and a minimum of 1-2 years hands-on experience in a fast-paced medical billing environment. Must have previous experience in a healthcare setting. Familiarity with CPT and ICD-10 is also required; CPC certification is a plus. Strong communication skills and attention to detail are necessary. Must have solid PC and application skills. The ability to handle a very high volume of work with speed and accuracy is essential. Proven ability in collections and negotiation is highly preferred. The ability to understand and apply contract language to billing is key.

All applications MUST be submitted via our website. In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.

CU Medicine is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing non-discrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities.

CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment.

The listed pay range (or hiring rate) represents CU Medicine’s good faith and reasonable estimate of the range of possible compensation at the time of posting and is based on evaluation of competitive market data.

A variety of factors, including but not limited to, internal equity, experience, and education will be considered when determining the final offer.

CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation beyond the number on your paycheck. Find information about our benefits here.

CU Medicine will post all jobs for aminimumof 7 days or until 250+ applicants have been received (whichever comes first).

CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations.