We are seeking an Insurance Billing and Follow Up Specialist II! This role will be responsible for performing all billing and follow-up functions, including the investigation of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that claims are paid in a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of data coming from multiple resources. To evaluate billing and follow-up issues appropriately, Reps will need to have an understanding of the entire Revenue Cycle and be able to interact with Government and Commercial insurances. **This position is open to remote/work from home Why UnityPoint Health? Commitment to our Team – We've been named a Top 150 Place to Work in Healthcare 2022by Becker's Healthcare for our commitment to our team members.? Culture – At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.? Benefits –Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in.? Diversity, Equity and Inclusion Commitment – We're committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.? Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.? Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.? Billing and Follow Up Responsibilities Resolve billing errors/edits, including accounts with Stop Bills and "DNBs" to ensure all claims are filed in a timely manner Ensure all claims are accurately transmitted daily and all appropriate documentation is sent when required Verify eligibility and claims status on unpaid claims Review payment denials and discrepancies and take appropriate action to correct the accounts/claims. Respond to customer service inquiries Perform charge corrections when necessary to ensure services previously billed incorrectly are billed out correctly Submit replacement, cancel and appeal claims to third party payers Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication. Work accounts in assigned queues in accordance with departmental guidelines. Contact patients for needed information so claims are processed /paid in a timely manner Work directly with third party payers and internal/external customers toward effective claims resolution. Education: High school graduate or GED equivalent Knowledge/Skills/Abilities: Interpersonal Skills Written and verbal communication Basic Computer skills Motivation Teamwork Customer/Patient-focused Professionalism Planning and organizing skills
