Insurance Follow-Up Specialist

2017 Top 25 Best Places To Work In Inland NW!

Job Location: Spokane Valley, WA

 

Job Description:

The primary purpose of the Follow Up Specialist is to pursue reimbursement of services rendered and achieve accounts receivable resolution.  Work through open accounts receivables (denials and delinquent accounts) by actively calling payer organizations or utilizing web-based connectivity. Manage 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.

 

What HRG Offers:

  • “INW Best Large Companies” – Great Places to Work 2016 and 2017 Winner

  • Competitive compensation and referral bonuses

  • HRG paid retirement plan through Employee Stock Ownership Plan and employee ownership

  • Medical / dental / vision / prescription / life / disability / Wellness Program

  • Paid time off, sick days and paid holidays

  • Opportunities for career growth

     

Position Summary:

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.

Qualifications: 

  • Experience in healthcare follow up and/or healthcare related field
  • Proficient in health care terminology, laws and regulations
  • Knowledge of CPT, 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