Insurance Billing and Follow Up Specialist II
UnityPoint Health - Madison, WI
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We are seeking an Insurance Billing and Follow Up Specialist II! This role will be responsible for performing all billing and follow-up functions, including the investigation of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that claims are paid in a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of data coming from multiple resources. To evaluate billing and follow-up issues appropriately, Reps will need to have an understanding of the entire Revenue Cycle and be able to interact with Government and Commercial insurances.Hours: 0.6 FTE, part-timeLocation: Remote/work from home with strong preference for candidates residing within the UPH geographies of Iowa, Illinois, & Wisconsin.Why UnityPoint Health?"¯Commitment to our Team -We’ve been named aTop 150 Place to Work in Healthcare 2022by Becker’s Healthcare for our commitment to our team members."¯Culture -At UnityPoint Health,youmatter. Come for a fulfilling career and experiencea cultureguided by uncompromising values and unwavering belief in doing what's right for the people we serve."¯Benefits -Our competitiveTotal Rewardsprogram offers benefits options that align with your needs and priorities, no matter what life stage you’re in."¯Diversity, Equity and Inclusion Commitment- We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation."¯Development- We believe equipping you with support anddevelopment opportunitiesis an essential part of delivering a remarkable employment experience."¯Community Involvement- Be an essential part of our core purpose—to improve the health of the people and communities we serve."¯"¯Visit us at UnityPoint.org/careers to hear more from our team members about why UnityPoint Health is a great place to work.https://dayinthelife.unitypoint.org/"¯Billing and Follow Up ResponsibilitiesResolve billing errors/edits, including accounts with Stop Bills and “DNBs” to ensure all claims are filed in a timely mannerEnsure all claims are accurately transmitted daily and all appropriate documentation is sent when requiredVerify eligibility and claims status on unpaid claimsReview payment denials and discrepancies and take appropriate action to correct the accounts/claims. Respond to customer service inquiriesPerform charge corrections when necessary to ensure services previously billed incorrectly are billed out correctlySubmit replacement, cancel and appeal claims to third party payersProvide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication. Work accounts in assigned queues in accordance with departmental guidelines. Contact patients for needed information so claims are processed /paid in a timely mannerWork directly with third party payers and internal/external customers toward effective claims resolution.Education:High school graduate or GED equivalentKnowledge/Skills/Abilities:Interpersonal SkillsWritten and verbal communicationBasic Computer skillsMotivationTeamworkCustomer/Patient-focusedProfessionalismPlanning and organizing skills
Created: 2024-09-30