Insurance Follow-up, Ambulatory Denials

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Engage with assigned payers regarding denial issues, encompassing authorization and eligibility denials.

• Organize and manage patient billing and collection processes.

• Handle payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans.

• Reconcile, balance, and pursue outstanding account balances, payments, and denials.

• Investigate payments, denials, and accounts to pinpoint short/overpayments, contract discrepancies, financial-class issues, and errors.

• Make necessary appeals and corrections.

• Develop collaborative relationships with business units, hospital departments, and provider offices.

• Identify trends in payment issues and relay solutions to both internal and external customers.

• Address incoming calls and initiate outbound calls to resolve billing, payment, and accounting concerns.

• Assist the patient financial services team in lowering accounts receivable balances and meeting collection targets.

• Document information in systems, provide statistical data, prepare issue lists, and communicate effectively with payers.

• Work autonomously under general supervision and report to a Supervisor or Manager.

⛳️ Requirements

• At least 1 year of experience in Medical Insurance Accounts Receivable and/or Physician Fee for Service Billing.

• A minimum of 1 year of experience writing appeal letters for payer/payor denials.

• Intermediate to advanced proficiency in Microsoft Excel.

• High school diploma/GED or equivalent practical knowledge.

• Understanding of patient financial services, financial collection services, or processes within the insurance industry.

• Capability to manage multiple tasks concurrently with minimal supervision.

• Ability to work independently.

• Excellent interpersonal, oral, and written communication skills.

• Strong familiarity with common office software, including word processing, spreadsheet, and database applications.

• Must reside in one of the following states: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY.

🏝️ Benefits

• Certified as a Great Place To Work®.

• Engaging and fulfilling career opportunities.

• Comprehensive total rewards package.