Temporary Hospital Billing Follow-Up Specialist

Duties:

1. Claims Follow-Up
Review assigned aging accounts and identify claims requiring follow-up.
Contact insurance payers (commercial, Medicare, Medicaid, Managed Care, etc.) via phone, portals, and written correspondence.
Document payer responses and next steps accurately within the billing system.
2. Claims Resolution & Corrections
Correct and resubmit denied or rejected claims as needed.
Research missing information, obtain medical records, or request coding updates when necessary.
Resolve billing discrepancies and ensure claims meet payer requirements, which could include the handling of provider disputes.
3. Account Documentation
Maintain detailed notes of all actions taken in the patient account record.
Update account statuses and escalate complex issues to Management.
4. Internal Communication
Communicate with internal departments (coding, registration, medical records) to resolve claim-related issues.
Notify Management of any payer trending issues or concerns.
5. Productivity & Compliance
Meet daily/weekly productivity and quality standards.
Follow HIPAA, hospital policies, and billing compliance guidelines.

Skills:
Skills & Competencies
Attention to detail and accuracy
Ability to manage multiple accounts and meet deadlines
Strong communicative mindset
Analytical thinking and ability to interpret payer remittances
Proficiency with spreadsheets and billing platforms