Insurance A/R Follow-Up Specialist

Job not on LinkedIn

🔥 0 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $22 - $26 / hour

⏱ Part Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Finseca

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2020

💸 Finance

💳 Fintech

🛡️ Insurance

Finance • Fintech • Insurance

Finseca is a member-driven organization dedicated to enhancing financial security for individuals and families. The organization supports financial security professionals by providing resources, advocating for the profession, and promoting financial well-being through holistic planning. By integrating life insurance, investments, and annuities, Finseca aims to achieve better consumer outcomes and elevate the reputation of its members in the financial sector.

📋 Description

• Manage the insurance claims process and follow up on outstanding accounts receivable • Identify and resolve claim denials • Appeal underpaid or rejected claims • Communicate with insurance companies and patients to facilitate timely reimbursement • Utilize insurance billing procedures, coding, and reimbursement regulations to optimize revenue cycle management and minimize revenue loss • Use electronic medical records (EMR) • Post charges for services in a timely manner • Submit clean claims electronically to carriers • Review and maintain clearinghouse reports • Verify eligibility and benefit coverage • Investigate and review insurance denials and update accounts • Prepare and submit secondary claims as needed • Resolve questions related to deductibles, co-insurance, and co-pays • Prepare and submit appeal letters to insurance carriers • Recommend coding changes as required • Perform soft collections as needed • Scrub Aged Trial Balance Reports for insurance discoveries • Train required team members as needed • Review denial reports, update accounts, and resolve denials • Generate bad debt submission reports and PFC Medicaid eligible reports • Assist with internal auditing initiatives • Perform other duties assigned by the management team

🎯 Requirements

• Insurance/AR follow-up experience required • Accuracy in billing is crucial to avoid errors and ensure proper reimbursement • Ability to work independently • Proficiency in medical billing software (e.g., Kareo, AdvancedMD) and electronic health records (EHR) systems preferred • Understanding of medical terms, anatomy, and healthcare procedures • Effective verbal and written communication skills for interacting with colleagues, patients, and insurance companies • Ability to resolve billing discrepancies and manage claim denials • Efficient in managing multiple tasks and meeting deadlines • At least two years of experience in AR, medical billing or a related industry • High School Diploma/GED is required • An associate’s degree in medical billing, health information management, or a related field can be advantageous • Certification as a Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) is preferred • Relevant certifications can be obtained from organizations like the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) • Ongoing education to stay current with changes in billing codes and regulations • Understanding of the local healthcare landscape, including major insurers and healthcare providers is preferred

🏖️ Benefits

• 401(k) • 401(k) matching • Dental insurance • Health insurance • Paid time off • Paid training • Tuition reimbursement • Vision insurance