Insurance Follow-Up Specialist

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Revco Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

🛡️ Insurance

💼 Consulting

Healthcare • Insurance • Consulting

Revco Solutions is a leading provider of revenue cycle management services specializing in healthcare debt collection and compliance. With a commitment to excellence, they offer tailored solutions that enhance performance while ensuring the highest standards of security and compliance. Their experienced team is dedicated to improving the financial health of healthcare organizations by optimizing collection efforts and providing superior client and patient experiences.

📋 Description

• Conduct detailed analysis and follow-up on outstanding commercial and government insurance claims • Research and resolve claim denials, rejections, and underpayments through billing corrections, appeals, and resubmissions • Prepare and submit EOBs, itemized statements, medical records, and other claim documentation • Respond to payer and patient inquiries regarding delinquent claims • Use payer portals, Electronic Health Records (EHR), and patient accounting systems to investigate claim status, post notes, and manage follow-up activities • Identify denial and payment-delay trends and contribute to process improvement initiatives • Maintain accurate account activity records and meet production and quality standards • Communicate with insurance representatives, patients, and internal departments to resolve outstanding issues • Organize daily workload to meet departmental benchmarks in a fast-paced, high-volume environment • Provide support on special projects and additional assignments as requested by management

🎯 Requirements

• 2 years of previous experience working with commercial or other third-party insurance claims, medical billing, or follow-up • Understanding of forms, CPT and ICD codes, insurance terminology, and insurance company remittance advice • BCBS experience is a plus • EPIC experience preferred but not required • Certificates, licenses, registrations, and/or Medicare certification are a plus but not required