Insurance Follow-Up Specialist
Menninger Clinic
- Houston, TX
- Permanent
- Full-time
- 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 computer system functions as it pertains to Patient Accounts.
- Enters patient demographics, insurance information, charges, and adjustments to Outpatient accounts.
- Schedule patient appointments for Outpatient visits.
- Assist clinicians with proper CPT coding selections.
- Demonstrates an ability to respond to changing workloads.
- Assists Utilization Review with initial authorizations and concurrent reviews.
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.