Collect active A/R from insurance payers including commercial, Blue Cross, Blue Shield, Aetna, Uniform Medical, United Healthcare, HMOs, PPOs, and other payers
Contact insurance payers by phone or online inquiry regarding unpaid hospital claims
Review remaining balances on account after insurances have paid to determine next action
Review denials by insurances for entire claims and for line items to determine if additional follow up is needed or assistance from other departments and forwarded to them as needed
Requirements
Medical terminology and medical coding training in an accredited school; or equivalent education/experience (Equivalent on-the-job training in a follow-up role required)
2 years of experience in insurance billing/insurance follow-up or insurance claims processing and/or customer service, including private insurance