Demo

BILLER--INSURANCE CLAIMS FOLLOW-UP SPECIALIST

POM Recoveries Inc
New York, NY Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 6/3/2025

Description

Job Type : Full-time or Part-time (days only)

Location : In Office, Hybrid, or Remote Positions Available

MUST HAVE HOSPITAL BILLING EXPERIENCE.

POSITION OVERVIEW

Are you a seasoned professional with a minimum of 2 years of hospital in-patient and out-patient claims follow-up experience? Join our team as an Insurance Claims Follow-up Specialist, where you'll leverage your expertise in medical collections, denial processing, appeal submission, and EOB review to resolve unpaid claims effectively.

KEY RESPONSIBILITIES :

  • The ideal candidate will excel in :
  • Insurance billing, follow-up, and verification processes.
  • Reviewing correspondence, including refund requests and medical necessity documentation.
  • Conducting detailed follow-ups with insurance providers.
  • Investigating accounts requiring additional action and resolving unpaid claims.
  • Responding to claim denials and verifying reimbursements based on payer contracts.

SALARY AND BENEFITS :

  • Up to $24.00 per hour (based on experience).
  • Flexible work settings (in-office, hybrid, or remote).
  • Medical / Dental / Vision health insurance offered
  • Paid Vacation / Sick / Holiday Time
  • 401K
  • Position Requirements

    REQUIRED EXPERIENCE :

    MUST HAVE HOSPITAL BILLING EXPERIENCE.

  • Denial management and appeals writing.
  • Correcting claims (e.g., NDC or coding issues).
  • Claims status follow-up.
  • Resubmitting denied claims using systems such as Cerner, EPIC, or A2K.
  • Retro authorizations (Retro Auth).
  • Payment and balance reclassification.
  • Using the Change Healthcare billing portal.
  • QUALIFICATIONS :

  • Strong attention to detail with excellent written and verbal communication skills.
  • Proven ability to interact effectively with insurance companies and patients.
  • Self-motivated and able to work independently.
  • Experience with insurance verification processes and carrier websites.
  • For remote positions : Reliable high-speed internet is required.
  • Ability to work full time or part time during regular business hours (8 AM to 5 PM EST).
  • ABOUT US :

    We are committed to excellence and fostering a collaborative work environment. Visit us at www.pomr.com to learn more about our company.

    Full-Time / Part-Time

    Full-Time and / or Part-Time

    Shift

  • not applicable-
  • Company Website

    WWW.POMR.COM

    Rate of Pay

    Up to $24.00 per hour based on experience

    EOE Statement

    We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

    This position is currently accepting applications.

    Salary : $24

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