Insurance Follow Up, Medical Biller

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

📋 Description

• Evaluates insurance denials and rejections to identify the appropriate next steps and gather the necessary information to resolve any outstanding issues.

• Confirms patient demographic details and verifies insurance eligibility, including coordination of benefits; updates and verifies as needed to facilitate claims processing with insurance providers.

• Ensures claims are received by insurance companies, determining the next appropriate actions and ensuring timely maximum reimbursement for claims.

• Gathers all required information to finalize the billing process, including liaising with providers, ancillary services staff, and patients.

• Secures and attaches referrals/authorizations to appointments and charges.

• Maintains productivity and accuracy metrics in line with departmental expectations and AEIOU Behavioral Standards.

• Takes full responsibility for minimizing accounts receivable related to insurance balances by addressing outstanding accounts.

• Reviews accounts to ensure proper claims processing and payment posting, responding to inquiries from patients or staff.

• Identifies and reports trends and/or potential issues to the management team.

• Adheres to all HOPCo policies and procedures, including those related to billing and the Revenue Cycle.

⛳️ Requirements

• A minimum of two to three years of experience in medical billing.

• Ability to communicate effectively with physicians, patients, and the public, and establish strong working relationships with both internal and external stakeholders.

• High school diploma or GED preferred.

• Proficient in computer systems.

• Experience with the GE patient management system.

• Familiarity with physician billing processes, ICD-10, and CPT coding.

🏝️ Benefits

• Equal Opportunity Employer