Medical Insurance Follow Up Specialist (General / Medi-Cal / IHS) - CLOSED

2016 Best Places to Work in Healthcare

Job Location: Spokane Valley, WA

 

About HRG:

We do registration, coding, billing, collection, resolution and accounting for hospitals and their attached clinics. We keep up with the changes in rules, regulations, forms, insurance requirements and processes that make up such a large part of the business side of a hospital. Although we have clients of all sizes, we take special pride in helping little rural community hospitals collect their accounts receivable in order to pay their bills and keep their doors open -- making it possible for patients to have home-town access to health care that might otherwise be hours away.

HRG is a great place to work! We are an integrated community of people with strong ties to Spokane, and we're growing. We have a track record of revenue and profit growth that has been consistently on the rise for over 10 years. Although there are 200 people working in this office, it still has the feel of a small company, where exceptional individuals really do make a big difference. We try to be honest, plain-spoken and forthright -- the company is 100% employee-owned, and we don't tolerate wasting our fellow owners' time or money on needless nonsense. At the same time, we believe in having FUN at work and making work enjoyable as well as worthwhile. We're constantly doing group activities, holidays and "just because" celebrations, as well as supporting local charities, and participating in community and family events.

Summary:

The primary purpose of the Follow Up team is to pursue reimbursement of services rendered and achieve accounts receivable resolution.  Follow Up team works through open accounts receivables (denials and delinquent accounts) by actively calling payer organizations or utilizing web-based connectivity.  Follow Up team manages accounts by utilizing HRG proprietary database and client HIS system(s).

Customer Service:

Through actions, creates a positive image of HRG to staff and others.

Core Responsibilities:

  • Contribute to positive business results by maintaining a workplace characterized by high performance, mutual support and respect, and teamwork
  • Regularly search for and identify opportunities for quality and process improvement resulting in improved efficiency, increased productivity, and high customer satisfaction
  • Continuously ensures unresolved issues are communicated early and escalated to management at appropriate time
  • Identifies development opportunities to maximize the proficiency of HRGs proprietary database.
  • Perform additional duties as assigned

 

Position Responsibilities:

  • Contact insurance carriers through website, email or telephone to resolve outstanding accounts
  • Analyze and resolve moderately complex insurance denials
  • Appeal and/or resubmit unresolved accounts to insurance carriers
  • Research and respond to insurance correspondence
  • Research and obtain required documents to resolve misdirected payment issues
  • Status accounts correctly based on client & HRG policy to ensure accurate account action
  • Analyze work list to spot trends; assess opportunities to improve account quantity
  • Assist in employee training and mentorship
  • Be a technical leader

What HRG Offers:

  • Competitive compensation and referral bonuses
  • HRG paid retirement plan through Employee Stock Ownership Plan and employee ownership
  • Medical / dental / vision / prescription / life / disability / FSA / HSA / Wellness Program
  • Paid time off, sick days and paid holidays
  • Opportunities for career growth
  • Leadership is comprised of experienced revenue cycle professionals

Qualifications: 

  • Experience in healthcare follow up and/or healthcare related field
  • Proficient in health care terminology, laws and regulations
  • Knowledge of CPT, ICD-9 (ICD-10) and HCPCs codes
  • Proficient in Excel with Experience in Microsoft Office application
  • Proficient with data entry and multi-tasking in a Window’s environment
  • Effective verbal and written communication skills
  • Strong teamwork skills
  • Critical thinking and problem-solving abilities
  • Responsible, reliable, and accountable
  • Proficient with 10-key

Other Requirements:

  • Ability to make independent decisions
  • Ability to travel by automobile or commercial transportation
  • Ability to read documents and computer screens, potentially for extended periods of time
  • Dialing and responding to telephone or in-person inquiries and daily assignments
  • Sitting at a desk or computer terminal and writing, typing, keying and coding information
  • Proficient with data entry and multi-tasking in a Window’s environment

If you are looking for a great culture where your contributions make a difference with opportunities for growth, then we invite you to apply today!