Insurance Follow-up Specialist

Schedule:

• Monday - Friday
• Shift can be a consistent 8 hour shift between the hours of 5:00am to 5:00pm local time
• Compensation:  $19- $22/hr based on experience; Quarterly Bonus Eligible

Principal Responsibilities

• Follow-up with Out-of-State Medicaid billed claims regarding claim status and resolution of payments in a timely manner.
• Thoroughly review all notes in patient accounts for potential benefit eligibility.
• Access client systems to determine eligibility and filing status in order to prepare claims for billing.
• Request necessary documents from client to perform billing.
• Responsible for accurately tracking payments and payment verifications.
• Contact patients when additional information is required to complete billing.
• Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
• Dependent upon position, identify root cause of issues and concerns, determine resolution, and refer to Management.
• Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations relating to job duties.
• Knowledge, understanding, and compliance with company policies and procedures.
• Provide feedback to management concerning possible problems or areas of improvement.
• Make recommendations to implement improved processes.
• Perform other duties as assigned by management. 

Experience and Education Requirements

• High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired.
• Previous Out-of State Medicaid billing/customer service experience preferred.
• Proficient personal computer skills, including Microsoft Office.
• Typing speed of 45 - 55 words per minute.
• Attention to details and excellent organizational skills.
• Excellent interpersonal, written, and oral communication skills.
• Ability to work in a team fostered environment.
• Ability to prioritize and organize work in a multitasked environment.
• Ability to adapt to a flexible schedule.
• Ability to maintain the highest level of confidentiality.

Work Environment

• Onsite office environment.
• Ability to lift and/or move 20 pounds with or without accommodation.

Benefits

• PTO
• One personal day annually
• Paid holidays
• 401k with match
• Paid 20K Employee Life Insurance
• Paid Employee Long-Term Disability
• Medical, Vision, Dental
• Short-Term Disability

• Benefits and Incentives

  • Comprehensive Health Coverage:
  • Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment.
  • Life and Disability Insurance:
  • Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
  • 401(k) Retirement Savings Plan:
  • Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following 6 months of continuous service.
  • Paid Time Off (PTO):
  • Accrue Paid Time Off starting on your first day of employment.
  • Flexibility in Benefits:
  • The company reserves the right to amend, modify, or terminate any benefits programs as needed.

GetixHealth is an Equal Opportunity and E-Verify Employer.

Salary : $19 - $22