Offer summary

Qualifications:

Minimum of 1 year of experience in insurance follow-up or denials management, or completion of a medical billing/follow-up certificate or degree., High school diploma or equivalent is required., Familiarity with claim status, appeals, and billing procedures is preferred., Proficiency in client systems like EPIC, Affinity, Athena, and Meditech is advantageous..

Key responsabilities:

Resolve insurance accounts for multiple clients, including claim status checks, appeals, and billing.

Trace missing payments and escalate coding issues when necessary.

Communicate with payers via phone and web portals, providing updates to clients through various communication methods.

Escalate any trends or issues requiring additional attention to the Manager/Supervisor.

Job description

This is a remote position.

The Staff Pad has partnered with one of Colorado’s largest accounts receivable management companies to hire an Insurance Claims Resolution Specialist. Headquartered in Longmont, this industry leader works with organizations across all 50 states, providing expert support in managing revenue cycles.

As an Insurance Claims Resolution Specialist, you are responsible for resolving outstanding balances on insurance accounts for various clients. This role involves handling claims, billing, and appeals to ensure accurate and timely account resolutions.

Responsibilities

Resolve insurance accounts for multiple clients, including claim status checks, appeals, billing, and rebilling corrected claims
Trace missing payments and escalate coding issues when necessary
Manage correspondence as assigned by the client
Post adjustments in client systems when required
Communicate with payers via phone and web portals
Provide continuous updates to clients through phone, email, and in-person communication
Escalate any trends or issues requiring additional attention to the Manager/Supervisor
Perform other duties as required

Success Factors/Job Competencies

Strong problem analysis and resolution skills
Excellent verbal and written communication abilities
A team-oriented mindset with a focus on collaborative solutions
Commitment to company values and the ability to prioritize tasks effectively
Strong organizational skills and ability to manage multiple priorities simultaneously

Requirements

Qualifications

Required:

Minimum of 1 year of experience in insurance follow-up or denials management
OR completion of a medical billing/follow-up certificate or degree
Ability to analyze accounts for claims resolution
High school diploma or equivalent

Desired:

Minimum of 6 months of experience in coverage and eligibility (preferred)
Familiarity with claim status, appeals, and billing procedures (preferred)
Basic knowledge of medical billing and coding
Experience in claims billing and reimbursement analysis
Proficiency in client systems like EPIC, Affinity, Athena, Meditech, Change Healthcare (Emdeon, ePremis, Relay)

Salary:

$16-20

Required profile