TEKsystems is looking to hire several Hospital Billers for a large healthcare company out of Waco, TX. If you have 4+ years of hospital billing experience, and are seriously interested in this job opportunity, please send your most updated resume to rsison @ teksystems.com - these resumes will be reviewed first and interviews are first come, first serve. Job Title: Insurance Follow-Up Specialist Start date: 03/10/2025 Hours: M-F 8a-5p CST Must haves: + Excellent verbal and written communication skills + 4 years of hospital claims follow-up experience working with different payers and denials, ideally previous experience working with appeals and the ability to identify claim underpayments. + Minimum 3 years of experience within revenue cycle (collections follow-up, claims follow-up, claims reconciliation, AR follow-up, appeals, denials) + Minimum 2 years of recent hospital (UB04 form) or provider follow-up experience where you worked with insurance companies and commercial payors to reconciliate denied claims. + Minimum 2 years of experience working through denials (authorizations, medical necessity, etc.) + Must be able to speak in depth on the basics of claims processes and experienced within proper steps to resolve patient claims. Job description: + As an Insurance Specialist on our team, you will be working with payers to resolve issues and facilitate prompt payment of claims. Through knowledge and understanding of patient billing, claims submission, and payer specific requirements is a must. This position is highly focused on the resolution of insurance processing errors and denials. Payers include but are not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. + Review accounts to determine if claims were paid per contract and dispute unpaid claims. + Investigate denied claims and take necessary steps to resolve denials, and reduce outstanding accounts receivable by managing claims inventory. + Speak to insurance companies in a professional manner regarding patients outstanding balances, actively gathering information from patients, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person or by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, contact evaluations, determine benefits and eligibility (insurance, public programs, etc.) determining financial responsibility and/or to identify sources of payment for services. + Request input, verify, and modify patient’s demographic, primary care provider, and payor information, utilizing tools like computer programs when indicated. + Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc. + Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures. + Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/update of patient accounts, etc. + Input, retrieve, and modify information and data stored in computerized systems and programs, generating reports using computer software. + Work with the Claims and Collections departments in order to assist patients and their families with billing and payment activities in order to increase cash flow. + Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies. Dayto day duties: + Each Specialist will be assigned an inventory to work. New accounts are assigned every day. + Work off of a worklist que in EPIC, work account to account. Every account is different and the insurance company as either paid it and left a balance or denied it and the Specialist needs to assist. + These accounts could be coded incorrectly or certain coverage (we need candidates who can understand how insurance is processed to push the account through). + Read through EOBs and it will clear the checklist. + Depending on what account, productivity expectation is around 50-55/day. + Communicate with team via Microsoft Teams chat for feedback or questions. This position provides the equipment, and is currently open due to tons of work and being understaffed nationwide. Interview process: one virtual interview with Hiring Managers. Pay and Benefits The pay range for this position is $18.00 - $22.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Gaithersburg,MD 20879. Application Deadline This position is anticipated to close on Feb 24, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.