Hospital Billing Follow-Up Specialist

Job Title: Hospital Billing Follow-Up Specialist
Work Location: Salinas, CA 93901 (Onsite)
Duration: 6 Months+ (Possible Extension)

Work Schedule: Full Time (40 hrs/ week)/Part Time (18 hrs per week)
Pay Range: $25 - $30 per hour. on W2
 
Please note: If you refer a candidate for this position and they are selected as the best match for our client, you will be eligible for a referral bonus. 
Job summary:
The Temporary Hospital Billing Follow-Up Specialist is responsible for supporting Patient Financial Services by reviewing outstanding claims, performing timely follow-up with payers, correcting claim errors, and ensuring accurate and prompt reimbursement. This temporary role assists in reducing aging accounts receivable and supports workflow backlogs
 
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.

Required Qualifications:

• High school diploma or equivalent.
• 1 year of Physician or Hospital billing and/or follow-up experience.
• Experience in medical office billing or hospital revenue cycle, and familiar with insurance follow-up (typically 3+ year).
• Knowledge of CPT, ICD-10, HCPCS codes, and standard billing concepts.
• Ability to work with billing software/EMR systems.
• Strong communication and problem-solving skills.

Preferred:

• Experience with Medicare/Medicaid and Commercial payer plans and portals.
• Previous hospital billing or A/R follow-up experience.
• Understanding of denial management workflows.
• Meditech experience.

 
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