Work complex to intermediate payer denials requiring entry level understanding of payer reimbursement methodologies and billing guidelines
Identify and resolve denials through research, appeal, correcting and rebilling claims
Verify and update insurance coverage using EHR tools, payer websites, or phone calls
Process late charges using the late charge functionality
Generate and release complex itemized statements and medical records.
Identify payer plan issues and work with SBO leadership to address them
Support Lean principles of continuous improvement with energy and enthusiasm
Deliver customer service and/or patient care in a manner promoting goodwill, timeliness, efficiency, and accuracy

High school diploma or GED required
Two to three years of applicable banking, finance, or related healthcare experience required
Course work in medical terminology or other revenue cycle functions preferred
Course work in Microsoft Office applications preferred
Certified Healthcare Financial Professional (CHFP) preferred
Certified Revenue Cycle Representative (CRCR) preferred
Certified Specialist Account and Finance (CSAF) preferred
Certified Specialist Payment and Reimbursement (CSPR) preferred
Registered Health Information Technician (RHIT) preferred
Certified Coding Specialist Physician Based (CCS-P) preferred
Certified Coding Associate (CCA) preferred
Certified Coding Specialist (CCS) preferred
Certified Outpatient Coder (COC) preferred
Certified Inpatient Coder (CIC) preferred
Certified Professional Coder (CPC) preferred
Certified Professional Biller (CPB) preferred

Temporary Insurance Follow-up Specialist

Key skills