Insurance Follow-Up Specialist

Menninger Clinic

  • Houston, TX
  • Permanent
  • Full-time
  • 2 months ago
Hours/Days: M-F, 8 am to 5 pmKey FunctionsManages the processing of commercial claims through account resolution. * Work with third party carriers to obtain eligibility and out of pocket expenses.
  • Monitors claim status via telephone, internet, and/or fax.
  • Review and interpret contractual terms and explanation of benefits.
  • Identify and post contractual adjustments, third party payments, and out of pocket remittances.
  • Set up, maintain, and edit payment arrangements on patient accounts, as necessary.
  • Monitor and resolve delinquent accounts through the organization’s collections process.
  • Processes credit balances and overpayments.
Maintains knowledge of information and functionality. * Observes all HIPAA required practices including, but not limited to, maintaining HIPAA compliance and confidentiality for all patient and clinic information.
  • Maintains knowledge of computer system functions as it pertains to Patient Accounts.
  • Enters patient demographics, insurance information, charges, and adjustments to Outpatient accounts.
Provides administrative services for patients; assist staff members, as needed. * Assist Outpatient Administrative positions and functions, as needed.
  • Schedule patient appointments for Outpatient visits.
  • Assist clinicians with proper CPT coding selections.
Assist with other Revenue Cycle projects and other duties as requested. * Accepts additional assignments willingly.
  • Demonstrates an ability to respond to changing workloads.
  • Assists Utilization Review with initial authorizations and concurrent reviews.
EDUCATION Required: High school diploma or equivalent required. Associates degree in business or related field preferred.License/Certification
Medical Billing certificate, CRCR, CRCS, CHAA PREFERREDExperience Required: Two years of Revenue Cycle and hospital experience. Knowledge of Microsoft Office, including Word, Excel, and Outlook.

Menninger Clinic