Dallas, TX, 75219, USA
12 days ago
Hospital Insurance Follow Up Specialist
Description Insurance Specialists are responsible for hospital and physician billing. The duties include working with payers to resolve issues and facilitate prompt payment of claims. Thorough 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. • Reviewing accounts to determine if claims were paid per contract and disputing unpaid claims • Investigating denied claims and taking necessary steps to resolve denials * Reduce outstanding accounts receivable by managing claims inventory • Speak to patients and insurance companies in a professional manner regarding their outstanding balances • Request, input, verify, and modify patient’s demographic, primary care provider, and payor information • Utilize tools, including computer programs, when indicated Day to Day Duties: - Each specialist will be assigned an inventory to work. New accounts assigned every day. - Work off of a worklist on either EPIC or Cerner. Additional Skills & Qualifications + 4+ years of hospital follow-up experience working with different payers and denials. + Previous experience working appeals and the ability to identify claim underpayments. + EPIC Software experience is preferred + Experience within Profee claims, facility claims, commercial claims, Medicare claims, managed Medicare claims &/or Medicaid claims) + Medicare, Medicaid, and commercial payor experience 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 Dallas,TX. Application Deadline This position is anticipated to close on Feb 21, 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.
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