EHPB Insurance Follow-Up Specialist Professional Billing
Investigates aged insurance claims to determine appropriate action and provide resolution.
1.Investigates aged insurance claims to determine payment status using account notes, healthplan websites and healthplan customer service.
2.Determines and facilitates appropriate action for claim resolution.
3.Identifies aged claim patterns to identify potential process improvement.
License, Certification, Education or Experience:
REQUIRED for the position:
•High School graduate or equivalent.
•1 year previous experience in professional billing
•Knowledge and experience in working with health care insurers' and their reimbursement systems , especially Medicare, Medicaid, Workers Compensation, Motor Vehicle and contract payers.
•A good understanding of CPT, Modifiers, HCPC, ICD-9 codes and medical terminologies.
•Demonstrated problem solving ability.
•Ten-key by touch
DESIRED for the position:
•College degree/Vocational training in billing or business