Insurance Follow Up Specialist

Job not on LinkedIn

🔥 14 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

👻 Ghost score 23%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 27 days.
• No salary listed.

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Margie and Bill Klesse College of Engineering and Integrated Design at UTSA

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏗️ Construction

💼 Consulting

🏭 Manufacturing

Construction • Consulting • Manufacturing

Margie and Bill Klesse College of Engineering and Integrated Design at UTSA is a leading institution in San Antonio for engineering and designed environment research and instruction. The college offers a variety of programs, including nine undergraduate majors, fifteen master's degrees, six doctoral degrees, and eight certificate programs. It features specialized departments and schools such as the School of Architecture & Planning, the Department of Biomedical & Chemical Engineering, and the School of Civil & Environmental Engineering, and Construction Management, among others. With a strong emphasis on student success and professional development, Klesse College provides resources like student organizations, tutoring, and internships. It also boasts state-of-the-art facilities like Makerspaces that encourage collaboration and innovation. As part of the University of Texas at San Antonio, the college is committed to solving grand challenges and preparing future leaders for a global environment.

📋 Description

• Initiate insurance follow-up on unresolved, appealed, or unpaid claims to ensure maximum and timely reimbursement • Submit appeals and reconsiderations on claim denials through practice management systems, payor portals, or mail • Analyze daily claim rejections from the clearinghouse • Screen claims for pre-authorization and request and submit medical records • Collaborate with Coding, Payment Posting, Managed Care Operations, Provider Enrollment, and Clinical Operations to resolve claim issues • Review and respond to payor correspondence regarding recoupments, refunds, eligibility, or additional requests • Assist the customer service team with patient billing concerns or disputes • Verify patient benefits and insurance eligibility • Perform claims status verification and navigate insurance websites for payor guidelines • Communicate findings to insurance companies, management, and clinical departments • Complete other duties as assigned

🎯 Requirements

• Some knowledge of patient billing or collection/reimbursement procedures in a healthcare setting preferred • Experience in medical claims follow-up functions specific to processing insurance claim appeals for various payors • Detail oriented with the ability to organize, prioritize and coordinate work within schedule constraints and handle emergent requirements in a timely manner • Ability to multi-task in a fast paced, high-volume environment • Proficient in Microsoft Office • EPIC experience • Experience with Experian and TriZetto/Claim Logic • HS Diploma or equivalent • Three (3) years hospital business office or medical billing related experience • Claims reimbursement knowledge

🏖️ Benefits

• UT SELECT Medical insurance offered free for employees • Family medical coverage available through payroll deduction • Discounted copays and coinsurance through UT Health Physicians • $50,000 group term life insurance provided free • $50,000 basic accidental death and dismemberment insurance provided free • Options to purchase additional employee and dependent life and AD&D coverage at group rates • Three dental insurance plan options through Delta Dental, including two PPOs and one HMO • Two vision plan options with standard or enhanced benefits • Disability insurance • Flexible spending accounts for dependent care and healthcare expenses • Teacher Retirement System (TRS) or Optional Retirement Plan (ORP) • Voluntary retirement programs with five retirement plan providers • Front-loaded paid time off: 128 to 208 hours (16 to 26 days) based on years of service • Extended Illness Bank: 8 hours accrued per month • Paid Family Leave: up to 240 hours (6 weeks) after 6 months of consecutive employment • 12 paid holidays annually • Discounts on services, tickets, and gym membership

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