Insurance Follow-Up Specialist - Patient Accounts
OSS Therapy
- Tacoma, WA
- $42,305 per year
- Permanent
- Full-time
- Review patient financial information to verify third-party payer requirements have been met and financial coding is correct;
- Audit information on third-party claim forms for accuracy and completeness; transmit claims to third-party payers, including using a direct entry claims interface system;
- Prepare and input allowances and adjustments to patient accounts according to third-party payer requirements and department procedures;
- Access major payers' computer files online to obtain eligibility and claims processing information;
- Respond to inquiries from patients, third-party payers and agencies, and other departments;
- Analyze unpaid third-party claims to determine appropriate follow-up action to assure payment;
- Analyze third-party contract reimbursement for accuracy;
- Contact patients and payers by telephone to resolve account balances;
- Process appropriate transactions to correct inaccurate account balances;
- Prepare correspondence to address account concerns;
- Analyze delinquent accounts with regard to billing and payment history and determine appropriate follow-up procedures based on departmental guidelines;
- Post and balance daily remittances to patient accounts; post allowances and adjustments accompanying cash remittances;
- Resolve credit balances through allowances, adjustments, or refunds to patients of third-party payers;
- Extensive insurance billing, follow-up experience,
- Previous experience working in health care insurance follow-up (is preferred, but not necessary),
- Experience in patient accounts receivable/collections (is preferred but not necessary),
- Strong interpersonal skills, sound judgment & decision-making,
- Strong analytical skills.
- Persuasive customer service skills,
- Effective written and oral communication skills,
- Capable of working independently,
- Ability to prioritize and organize daily tasks,
- Ability to always represent OSS professionally,
- Ability to communicate information effectively to payers, clients, and staff,
- Secure patients' demographics and medical information with great discretion and ensure all procedures align with HIPAA compliance and regulation.
- Matching 401(k)
- Health Insurance
- Dental and Vision Insurance
- Advancement opportunities
- Company-wide celebrations and events!
- Monday - Friday (no weekends) from 8 am to 5 pm.