Overview
The Senior Insurance Follow Up Specialist performs job duties in accordance to established procedures, policies, and detailed instructions, drives resolution of unpaid claims and promotes top performance while delivering superior revenue cycle outcomes. This position interacts daily with team members, insurance representatives and other departments in an effort to quickly resolve outstanding account balances while enhancing the patient experience and ensuring integrity and compliance. This role serves as a subject matter expert.
Qualifications
Education: High School diploma or equivalent
Experience: Minimum of 5 years in resolving insurance denials and/or revenue cycle. Preferred: Knowledge of CPT, ICD terminology and familiarity with billing software
Skills/Abilities:
- A basic understanding of insurance requirements and regulations, contract benefits, credit and collection procedures, financial assistance programs as well as a familiarity of medical terminology
- Advanced reading, writing and oral communication skills as well as the knowledge to perform mathematical calculations.
- Interpersonal skills necessary for making patient and third-party payer contacts.
- Must be able to work with interruption by co-workers or other internal customers needing assistance with patient accounts.
- Analytical and critical thinking ability to diagnose account issues and active listening skills to provide service excellence.
- Demonstrated project and time management skills and an ability to work effectively over the phone and in a team environment.
- Demonstrated proficiency in data entry and computers
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