Medical Claims Follow-Up�Specialist

RSource; United States; Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a Medical Claims Follow-Up Specialist to join their Revenue Recovery team. This remote position offers the chance to make a significant impact by advocating for patients while ensuring ethical billing practices. You will utilize your analytical skills to resolve outstanding claims and work with various entities to recover revenue. The company values flexibility and offers a comprehensive benefits package, making it an excellent opportunity for those looking to grow in a supportive environment. If you are detail-oriented and passionate about patient advocacy, this role could be the perfect fit for you.

Benefits

100% Remote Work

Full Benefits

Growth Opportunities

Qualifications

• High level of professionalism and adherence to debt collection regulations.
• Moderate computer proficiency including MS Excel, Word, and Outlook.
• Familiarity with CPT and ICD coding preferred.

Responsibilities

• Follow up on patient bills and claims to recover revenue.
• Analyze information to identify root causes of denied claims.
• Escalate complex accounts to management for effective progress.

Skills

Professionalism

Debt collection rules and regulations adherence

HIPAA compliance

MS Excel proficiency

MS Word proficiency

MS Outlook proficiency

Organization skills

Documentation skills

Mathematical ability

CPT, ICD coding familiarity

Tools

Artiva workflow management system

Job description

Career Opportunities with Knowtion Health

A great place to work.

Knowtion Health participates in E-Verify

Current job opportunities are posted here as they become available.

A Medical Claims Follow-Up Specialist, known at Knowtion Health as a Specialist I, Revenue Recovery, effectively and consistently generates revenue through professional billing practices, using proper and ethical collection efforts. Knowtion Health works as an ambassador on behalf of patients to resolve outstanding hospital bills and never collects monies from patients. In addition to drafting appeals, Specialists must demonstrate proficient use of web-based client and payer portals along with notation databases. This position is remote.

Join us at Knowtion Health as a member of our Revenue Recovery team!

What We Offer:

• 100% Remote Work: Embrace flexibility and say goodbye to commutes.
• Full Benefits: Comprehensive health, dental, and wellness plans because your wellbeing is important.
• Growth Opportunities: Knowtion Health is a continuously growing 3rd party Hospital Revenue Cycle Management company providing promotion opportunities for those both interested and qualified.

Who We Need:

• Someone with:
• A high level of professionalism
• Adherence to all debt collection rules and regulations
• Adherence to HIPAA requirements
• Moderate computer proficiency including working knowledge of MS Excel, Word, and Outlook
• Organization and documentation skills to ensure timely follow-up and accurate record keeping
• Mathematical ability to calculate rates using addition, subtraction, multiplication, and division
• Familiarity with CPT, ICD coding preferred

Your Role Will Involve:

• Using the Artiva workflow management system, follow up on patient bills and claims to recover revenue from the responsible business entity. Depending on the department, the business entities may include any or all the following: commercial health insurance, governmental insurance, veteran’s benefits, third party administrators, attorneys, motor vehicle carriers, employers, and worker’s compensation carriers.
• Analyze information to identify root cause of denied or unpaid claim and determine next steps.
• Pursue & obtain information needed to overturn claim denials, including patient & responsible party information, medical necessity, employer information, and accident information.
• Ensure appropriate timely filing guidelines are met for maximum reimbursement.
• Escalate complex, complicated, or challenging accounts to management to ensure accounts are progressing effectively.
• Identify and discuss root cause issues with management.

Compensation:

• The pay range for this position starts at $17/hr and increases depending on experience and qualifications.

Are You Ready? If you have a knack for details, a passion for patient advocacy, and a desire to make a significant impact in a fun and fast-paced environment, we would love to meet you!

The above statements are intended to provide the general nature and level of work being performed by most people assigned to the position. They are not intended to be an exhaustive list of all responsibilities, duties, and requirements.

This position is remote and requires a dedicated, distraction-free work space at home. We offer a competitive benefits package including medical, dental, vision, life insurance, short term disability, long term disability, paid holidays, 401k, and a generous PTO policy.

Knowtion Health gives priority to applicants located in the following states: AR, AL, AZ, FL, GA, IL, KS, KY, MD, MA, MN, NC, OH, OK, PA, SC, TN, TX, WV, VA.