[Remote] Follow-Up Specialist
Note: The job is a remote job and is open to candidates in USA. Vail Health is the world’s most advanced mountain healthcare system, consisting of a state-of-the-art facility providing exceptional care to patients. The Follow-Up Specialist is responsible for collection activities related to insurance follow-up, resolving denials, and assisting with billing functions.
Responsibilities
- Responsible for collection activities including but not limited to insurance follow-up, resolving denials & rejections, submitting re-bills, re-submit claims, and file appeals
- Assists with resolving unpaid self-pay and patient residual accounts
- As needed, acts as the back-up for the billing function, posts charges and submits insurance claims
- Completes required reports and assists with special projects as assigned
- Backs up other front office positions as needed
- Performs claims follow-up by working aging and denials
- Applies knowledge of insurance contracts and medical procedure reimbursement
- Coordinates resubmission of claims when necessary
- Submits appeals with supporting documentation when warranted
- Identifies denial trends and works with management and payers to resolve issues
- Contributes to team effort to meet collection goals and reduce A/R days
- Investigates insurance overpayments and submits refund requests to department manager
- Exhibits strong problem solving and research skills to ensure solutions are found
- Completes required reports and assist with special projects as assigned
- On an as needed basis will assist and back-up other front office staff positions
- Role models the principles of a Just Culture and Organizational Values
- Perform other duties as assigned. Must be HIPAA compliant
Skills
- One year healthcare experience OR One year accounts receivable experience required
- Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc
- Must have working knowledge of the English language, including reading, writing, and speaking English
- Bachelors Degree preferred
Benefits
- Competitive wages
- Parental leave (4 weeks paid)
- Housing programs
- Childcare reimbursement
- Medical
- Dental
- Vision
- Tuition Assistance
- Existing Student Loan Repayment
- Specialty Certification Reimbursement
- Annual Supplemental Educational Funds
- Up to five weeks in your first year of employment and continues to grow each year.
- 403(b) Retirement plan with immediate matching
- Life insurance
- Short and long-term disability
- Up to $1,000 annual wellbeing reimbursement
- Recreation discounts
- Pet insurance
Company Overview