Job Description
Description
Once the hospital claim is billed, if it is not paid by day 180, it rolls to follow up on. They will be using the client's system minimally and will either provide in house biller with next steps to fix it, or they will contact the insurance company by phone or website to see what needs to be done. They will update in the system to either bill it or write it off. They expect them to get through 20-30 claims a day once they are trained.
They work with 30+ payers. They may need to submit Medical Records, correct claims as well as obtain retro authorizations. It is essentially following up on the claim to find out the next step. They have billers who actually do the submissions, they just need this person to find out what needs to be done.
Job Duties:
- Make outbound calls
- Take incoming calls
- Resolve outstanding account balances via the necessary avenues (internal system)
- Properly follow up on all correspondence received
- Maintain a work file of ...
Once the hospital claim is billed, if it is not paid by day 180, it rolls to follow up on. They will be using the client's system minimally and will either provide in house biller with next steps to fix it, or they will contact the insurance company by phone or website to see what needs to be done. They will update in the system to either bill it or write it off. They expect them to get through 20-30 claims a day once they are trained.
They work with 30+ payers. They may need to submit Medical Records, correct claims as well as obtain retro authorizations. It is essentially following up on the claim to find out the next step. They have billers who actually do the submissions, they just need this person to find out what needs to be done.
Job Duties:
- Make outbound calls
- Take incoming calls
- Resolve outstanding account balances via the necessary avenues (internal system)
- Properly follow up on all correspondence received
- Maintain a work file of ...
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