St. Charles Health System

Insurance Follow-Up Specialist

St. Charles Health System

full-time

Posted on:

Location Type: Remote

Location: OregonUnited States

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Salary

💰 $23 - $32 per hour

About the role

  • Work with intermediate payer denials and understand reimbursement methodologies
  • Identify denial trends and possible solutions
  • Assist other caregivers with level one follow-up tasks
  • Resolve denials by researching, appealing, correcting and rebilling claims
  • Coordinate with Cash Management to obtain and post payments
  • Maintain accurate records in the EHR and provide documentation
  • Collaborate with internal and external stakeholders to resolve issues

Requirements

  • High school diploma or GED
  • Course work in medical terminology or other revenue cycle functions such as RHIT or medical coding
  • Course work in Microsoft Office applications
  • Five years of applicable healthcare experience of which two years must have been in insurance follow up or equivalent role
  • Experience in an applicable financial, analytical, or medical billing and coding position may substitute for up to one of healthcare experience
  • One year of Epic experience
  • Two to three years of Epic experience preferred
  • Experience using revenue cycle knowledge-based tools including applicable software and AMA manuals
Benefits
  • medical
  • dental
  • vision
  • 403(b) retirement plan
  • Earned Time Off (ETO) program
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
reimbursement methodologiesdenial trends analysisclaims researchappealing claimscorrecting claimsrebilling claimsmedical codingfinancial analysismedical billingrevenue cycle knowledge
Soft Skills
collaborationproblem-solvingcommunicationorganizationattention to detail
Certifications
RHIT