Insurance Verification Specialist jobs in Aiken, SC

Become the Champion of Claim Resolution!

Are you a detail-oriented problem-solver with a knack for navigating the intricate world of medical billing and insurance? Our client is seeking a tenacious Insurance Follow Up Specialist to join their team and play a pivotal role in ensuring their practice receives the reimbursements it deserves.

In this crucial position, you'll be the driving force behind resolving outstanding claims, filing appeals, and maintaining open lines of communication with third-party payors. Your meticulous attention to detail and unwavering persistence will be the key to unlocking successful claim processing and maximizing revenue for their organization.

Responsibilities:
Contact third-party payors (insurance companies, government agencies, etc.) regarding outstanding claims to ensure prompt payment.
File appeals on denials involving timely filing, pre-certifications, and services provided by multiple providers on the same date of service.
Provide necessary documentation to the Posting Department for any rejections and/or adjustments that need to be posted to patient accounts.

• Obtain necessary information from hospitals or remote sites for appropriate claims processing, update the billing system with new information, and work with third-party payors to get claims processed or re-processed as necessary.
• Track the number of accounts worked and keep the supervisor informed of fluctuations in volume, patterns of problems, and other relevant information.
• Maintain accurate and organized records of all follow-up activities and correspondence with third-party payors.
• Collaborate with the billing team and other departments to ensure efficient claim processing and resolution of issues.
• Stay up-to-date with changes in insurance policies, regulations, and billing procedures to ensure compliance.

Working hours: 8:00 AM - 5:00 AM

Skills:

• Strong understanding of medical billing processes, insurance regulations, and coding.

Education:
High School

Experience:
1-4 years

Qualifications:

• Able to read an EOB (Explanation of Benefits)
• High school diploma or equivalent.
• At least 1 year of experience in a medical office setting, preferably in a billing or insurance follow-up role.
• Understand how payments are processed by insurance companies
• Excellent verbal and written communication skills.
• Proficient in computer applications, including billing software and Microsoft Office suite.

Don't miss this opportunity to become a claims resolution hero! Apply now and unlock your potential in this rewarding and challenging role.