Insurance Follow-Up Specialist

Lake Health Willoughby , OH 44096

Posted 2 weeks ago

8831

Are you interested in becoming part of an outstanding team of professionals who make patient and family-centered care their priority? We currently have the following opportunity for an energetic, skilled, and compassionate individual like you to become part of the Lake Health team.

Position Summary:

Follows up and investigates claims unpaid, not properly or fully paid, or denied. Performs reprocessing of claims to primary and second payer sources and patients.

Processes all accounts receivable and maintains days outstanding within acceptable limits. Implements and performs all collection procedures according to regulations and guidelines established by policy.

Essential Job Functions:

Conducts follow-up on problem and/or outstanding accounts, supplies additional information requested and initiates phone calls, correspondence, etc. for collection of outstanding accounts. Performs basic billing functions including correcting errors and communicating with departments as needed.

Meets department targets regarding productivity and claim resolution. Review payor denials to ensure timely re-processing of claims to primary and secondary payor sources. Batches and transmits claims electronically to specified payors.

Corrects and re-submits claims as needed. Handles all follow-up requests from payors.

Generates and reviews reports indicating accounts requiring follow up and/or claims requiring billing edit review. Maintains financial record as active until account is paid in full or settled.

Processes patient statements.

Catalogs and processes patient accounts determined to be aged accounts as bad debt. Coordinates with Supervisor of Billing and Collections, other department staff and collection agencies to resolve aged accounts. Consults with Supervisor of Billing and Collections and coordinates financial payment schedules for private pay and delinquent accounts.

Prepares a variety of correspondence accurately and timely (e.g. collection letters, legal action papers, information requested by payer, etc.). Maintains filing system to facilitate efficient retrieval of materials. Performs other related clerical duties as assigned or requested.

Communicates with internal and external customers to resolve claim and receivable issues as needed.

Other duties as assigned.

Education and Experience:

High school diploma or equivalent.
0-3 years of billing, insurance follow-up credit and collection experience, customer service, or similar service in acute care, home care or physician office setting. May include medical insurance billing experience. Knowledge of medical terminology preferred.

Proficient in use of PC and Microsoft applications.

Excellent interpersonal skills to effectively interact in person and over the telephone.

Ability to perform multiple tasks and appropriately set priorities.

Excellent organizational skills.

Medical billing software experience preferred

Lake Health offers free, secure and convenient parking; an aggressive pay structure, tuition reimbursement and continuing education funding programs, a generous and comprehensive benefits package for all eligible positions which includes medical, dental, vision, pension, paid time off; an award winning hospital system recognized for excellence in patient care and as a "Best Place to Work." Apply on-line today at http://www.lakehealth.org/Careers

Key Words: Billing, Collection, Patient Accounts, Claims



icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Insurance Verification

Lake Health

Posted 2 weeks ago

VIEW JOBS 4/3/2019 12:00:00 AM 2019-07-02T00:00 8412 Are you interested in becoming part of an outstanding team of professionals who make patient and family-centered care their priority? We currently have the following opportunity for an energetic, skilled, and compassionate individual like you to become part of the Lake Health team. Position Summary: The Administrative Associate-PFS, reporting to the Manager of PFS, courteously greets all customers (Physician offices, patients and families, team members) on the phone, determines their needs, and schedules the patients appropriately. They are responsible to provide accurate information regarding the scheduling process to all callers as a representative for Lake Health. The Scheduling Team Member provides secretarial services in the form of scheduled procedures for Lake Health departments and patient's/families/significant others and physician's. The Scheduling team member must consistently demonstrate the ability to respond to changing situations in a flexible and friendly manner to meet operational needs. The Scheduling team member must always display AIDET skills, consistently show respect for patients' privacy and show compassion to all patients and family in a professional manner. The Scheduling team member must understand compliance and verification of medical necessity so that scheduled procedures meet medical necessity. Accurate scheduling of patient's and procedures is critical to their role. While scheduling patients, the scheduler will also complete the pre-registration process obtaining accurate demographic and insurance information. Essential Job functions: Courteously greet patients, physician offices and/or team members, determine their needs and schedule them appropriately. If the scheduler is not able to meet the scheduling needs, the scheduler will direct them to the appropriate person, office or treatment area. Measured by positive feedback and lack of complaints, response time to calls, dropped calls, abandoned calls, patient satisfaction scores and peer responses. Assist patients during the scheduling process to ensure smooth delivery of service. Instruct patient on site location, parking, registration process, and test preparation, Complete pre-registration process obtaining accurate patient demographic information and insurance information. Measured by inaccurate scheduling as reported back by departments, lack of registration errors, lack of denials, incomplete ABN's as identified by Patient Financial Services, and Patient Satisfaction scores. Demonstrate consistent knowledge of information system procedures in order to accurately and efficiently perform standard work. This includes the scheduling system, the ADT system, medical necessity checking and the document imaging system. Measured by Lake Health reports indicating lack of registration errors, lack of denials, lack of incomplete ABN's as identified by Patient Financial Services, and Patient Satisfaction scores. Maintain an environment to promote efficiency and processing of patients within the work area. Measured by Lake Health reporting tools and observation, Patient Satisfaction survey responses, Patient turn-around-time, and feedback from other departments. Adhere to Lake Health Standards of Behavior including RITSI values, Teamwork, and adherence to Department and System Policies and Procedures; as evidenced by observation and team feedback. Other duties as assigned. This is to include assisting co-workers as needed, informing department manager of needed supplies, handling daily department mail, assisting with department staffing schedules when lapses in staffing are identified, taking ownership and responsibility for daily department functions. This is to be measured by Gallup survey results, Press Ganey survey results, registration staff department feedback and other department feedback, and Manager observation. Education and Experience: Education: High School Diploma/GED required. Graduate or certificate from Medical Assistant program preferred. Knowledge of medical terminology as demonstrated by experience or education. License/Certification: BLS Certification preferred. Experience: 2 years experience Lake Health offers free, secure and convenient parking; an aggressive pay structure, tuition reimbursement and continuing education funding programs, a generous and comprehensive benefits package for all eligible positions which includes medical, dental, vision, pension, paid time off; an award winning hospital system recognized for excellence in patient care and as a "Best Place to Work." Apply on-line today at http://www.lakehealth.org/Careers Keywords: Admin Associate, Patient Financial Services, Lake Health Willoughby OH

Insurance Follow-Up Specialist

Lake Health