Insurance Follow Up  Revenue Cycle Specialist (REMOTE) in Missouri  Kansas City, KS
Posted 2025-04-06Insurance Follow Up - Revenue Cycle Specialist (REMOTE) - Wakefield & Associates - Missouri - Kansas City, KS - work from home job
Company: Wakefield & Associates
Job description: We are a growing nationwide healthcare solutions company that is looking for dynamic and experienced individuals to join our revenue cycle team! We offer work from home (remote) positions with a flexible schedule and commission program. We are hiring for experienced billers, insurance follow-up and posting positions. Medicare Part A and B a plus.
General Summary of Duties
The Insurance Follow-Up Specialist assists the unit in resolving consumer account balances pending with a third-party payer and working with consumers on behalf of our client as an extended business partner. This position is fully remote - work from home.
Duties of Job
 Processes denials from insurance companies as appropriate according to coding and specific insurance policies and procedures
 Processes aging reports according to established client business office guidelines
 Remains current with assigned insurance company publications and is knowledgeable regarding policies, procedures and coding guidelines for insurance company/network for which the representative is responsible
 Research and handle insurance credit balances according to company and insurance procedures
 Work daily correspondence from patients and insurance companies and handles inquiries appropriately and in a timely manner
 This position could be required to communicate directly with the provider/client on status updates and on information necessary for processing a completed account for payment resolution
 Successfully assist in leading team to meet defined goals and contractual obligations for each client
 Follow-up on accounts by contacting third-party payers via website/telephone/mail for payment status, according to schedule of disposition/payer to be worked on given days
 Researches, identifies, and rectifies any special circumstances affecting resolution of consumer account
 Gather information regarding other pending claims on account
 Contact third party payer to verify benefits and eligibility dates
 Update consumers account in system with any action taken or additional information attained
 Adheres to all established company policies and departmental procedures. Remains current on Federal and State regulations and statues that influence collections of receivables
 Performs other duties as assigned by managing supervisor
Job Requirements
 2-4 years' experience in a medical environment with emphasis on collections, follow-up, and/or billing for third party
 Medicare/DDE experience is a plus.
 Working knowledge of Healthcare Revenue Cycle Operations. Experience in hospital billing is preferred
 Working knowledge of all appropriate billing forms, including 1500 and UB04
 Ability to identify trends within claim denials in an effort to quickly resolve multiple claim issues
 Ability to take and follow direction
 Excellent communication skills
 Computer literate with a knowledge of, or ability to learn about, collection procedures and governing laws applicable to position
 Ability to learn new software as necessary
Benefits
 Major Medical Insurance
 Flexible Spending Account
 Dental Insurance
 Vision Insurance
 Life Insurance
 Short-Term and Long-Term disability 100% paid by employer after 1 year
 Voluntary Term Life
 401(k) Savings Plan
 Supplemental Insurances
 Paid Holidays
 Paid Time Off
Job Posted by ApplicantPro
Expected salary:
Location: Missouri - Kansas City, KS
Job date: Mon, 11 Sep 2023 22:36:50 GMT
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