What are the responsibilities and job description for the Hospital Insurance Follow Up Specialist, $5,000 Sign On Bonus position at Pinnacle Hospital?
ESSENTIAL DUTIES AND RESPONSIBILITIES are as follows: although this is not an all-inclusive list and additional duties maybe added as necessary to meet the needs of the organization. To perform this job successfully, an individual must be able to perform each essential duty.
Identifies accounts that are past timely payment. Follows-up via telephone, email, postal mail, in a timely basis with insurance carriers, third-party payers, etc. to check claim status or question non-payment.
Actively and continually works with insurance carriers, third party payers, etc, until claims or bills are paid in full.
Promptly resolves, or works with others to resolve, issues that may delay payment, i.e., submitting requested documentation, inappropriate/incorrect procedure or diagnostic coding, etc.
Consistently communicates and cooperates with other team members to ensure a prompt resolution is found.
May assist with processing rejections by correcting any billing errors such as missing information, authorizations, control numbers, etc. and resubmitting claims to third party insurance carriers.
Investigates options to resolve account balances; makes recommendation on disposition of outstanding balances based on knowledge and course of action taken thus far.
Keeps detailed, clear and concise log of every action taken to resolve claim issues, account balances, etc.
Requirements
The minimum requirements listed below are representative of the knowledge, skills, abilities, education, training, and experience required to be successful in the position.
Required Education/Experience
High school diploma or General Education Degree (GED).
Preferred Education/Experience
Knowledge of collection concepts either through previous experience or training.
Working knowledge of medical terminology and coding.
Other Knowledge, Skills And Abilities
Read, write and speak in the English language to successfully perform the essential duties of this position.
Proficient with computer navigation in order to successfully perform the essential duties of this position.
Display a courteous and professional manner when communicating the details of the account and the plan to resolve the debt.
Mathematical ability to calculate figures and amounts.
Analytical thinker
Mental stamina in order to work with constant demands, challenges and difficult circumstances and people.
Ability to multi-task, work with numerous interruptions and willingness to assess and change priorities.
Effectively present information and respond to questions from a diverse population, including management, supervisors, insurance company representatives, patients, family members, etc.
Identifies accounts that are past timely payment. Follows-up via telephone, email, postal mail, in a timely basis with insurance carriers, third-party payers, etc. to check claim status or question non-payment.
Actively and continually works with insurance carriers, third party payers, etc, until claims or bills are paid in full.
Promptly resolves, or works with others to resolve, issues that may delay payment, i.e., submitting requested documentation, inappropriate/incorrect procedure or diagnostic coding, etc.
Consistently communicates and cooperates with other team members to ensure a prompt resolution is found.
May assist with processing rejections by correcting any billing errors such as missing information, authorizations, control numbers, etc. and resubmitting claims to third party insurance carriers.
Investigates options to resolve account balances; makes recommendation on disposition of outstanding balances based on knowledge and course of action taken thus far.
Keeps detailed, clear and concise log of every action taken to resolve claim issues, account balances, etc.
Requirements
The minimum requirements listed below are representative of the knowledge, skills, abilities, education, training, and experience required to be successful in the position.
Required Education/Experience
High school diploma or General Education Degree (GED).
Preferred Education/Experience
Knowledge of collection concepts either through previous experience or training.
Working knowledge of medical terminology and coding.
Other Knowledge, Skills And Abilities
Read, write and speak in the English language to successfully perform the essential duties of this position.
Proficient with computer navigation in order to successfully perform the essential duties of this position.
Display a courteous and professional manner when communicating the details of the account and the plan to resolve the debt.
Mathematical ability to calculate figures and amounts.
Analytical thinker
Mental stamina in order to work with constant demands, challenges and difficult circumstances and people.
Ability to multi-task, work with numerous interruptions and willingness to assess and change priorities.
Effectively present information and respond to questions from a diverse population, including management, supervisors, insurance company representatives, patients, family members, etc.