Temporary Insurance Follow-up Specialist

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

📋 Description

• Manage all payers within a single financial class.

• Detect and address denials through research, appeals, corrections, and resubmission of claims.

• Verify and update insurance coverage as necessary.

• Utilize entry to intermediate level research methodologies in line with the SBO department complexity matrix.

• Identify and resolve claims with no response, including but not limited to unreceived, unbilled, and unprocessed claims.

• Submit revised claims.

• Create and distribute complex itemized statements and medical records.

• Participate in relevant meetings, including payer meetings and educational opportunities as appropriate.

⛳️ Requirements

• High school diploma or GED is mandatory.

• Coursework in medical terminology or other revenue cycle functions such as RHIT or medical coding is preferred.

• Coursework in Microsoft Office applications is preferred.

• Certifications such as Certified Healthcare Financial Professional (CHFP), Certified Revenue Cycle Representative (CRCR), Certified Specialist Account and Finance (CSAF), Certified Specialist Payment and Reimbursement (CSPR), Registered Health Information Technician (RHIT), Certified Coding Specialist Physician Based (CCS-P), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Professional Coder (CPC), and Certified Professional Biller (CPB) are preferred.

• Two to three years of relevant experience in banking, finance, or related healthcare fields is required.

• Previous experience in insurance follow-up is preferred.

🏝️ Benefits

• No benefits offered.