What are the responsibilities and job description for the Insurance Follow-up Specialist position at ECU Health?
ECU Health
About ECU Health Medical Center
ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.
Position Summary
The Insurance Follow-up Specialist ensures that the healthcare provider and facility receive timely and accurate payments from insurance companies. This position involves thorough follow-up on outstanding claims and working to resolve any issues that may delay payment. The Insurance Follow-up Specialist ensures the efficient management of insurance claims, contributing to the financial stability and operational success of the healthcare provider and facility.
Minimum Requirements
Required Education/Course(s)/Training:
High school diploma/equivalent or higher
5 years of experience in A/R follow-up
Required Certification/Registration: None
Certified Revenue Cycle Representative (CRCR) preferred.
Skill Set Requirement
Ability to analyze claims, identify issues, and develop solutions.
High level of accuracy and attention to detail in reviewing and following up on claims.
Strong analytical and problem-solving skills to identify and resolve issues related to claims processing.
Excellent verbal and written communication skills for effective interaction with insurance representatives, patients, and internal teams.
Understanding of healthcare billing regulations, HIPAA compliance, and insurance guidelines.
Proficient in payment review systems, hospital information systems and coding methodologies.
Intermediate knowledge of CPT, ICD-10, and HCPCS coding standards
Communicate orally and in written form.
Understand insurance terms and payment methodologies.
General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
About ECU Health Medical Center
ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.
Position Summary
The Insurance Follow-up Specialist ensures that the healthcare provider and facility receive timely and accurate payments from insurance companies. This position involves thorough follow-up on outstanding claims and working to resolve any issues that may delay payment. The Insurance Follow-up Specialist ensures the efficient management of insurance claims, contributing to the financial stability and operational success of the healthcare provider and facility.
Minimum Requirements
Required Education/Course(s)/Training:
High school diploma/equivalent or higher
5 years of experience in A/R follow-up
Required Certification/Registration: None
Certified Revenue Cycle Representative (CRCR) preferred.
Skill Set Requirement
Ability to analyze claims, identify issues, and develop solutions.
High level of accuracy and attention to detail in reviewing and following up on claims.
Strong analytical and problem-solving skills to identify and resolve issues related to claims processing.
Excellent verbal and written communication skills for effective interaction with insurance representatives, patients, and internal teams.
Understanding of healthcare billing regulations, HIPAA compliance, and insurance guidelines.
Proficient in payment review systems, hospital information systems and coding methodologies.
Intermediate knowledge of CPT, ICD-10, and HCPCS coding standards
Communicate orally and in written form.
Understand insurance terms and payment methodologies.
General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
