Follow Up Specialist Jobs

Job Title: Follow Up Specialist
Reports to: Billing Manager
Summary: In this role you will be responsible for identifying, fixing and resubmitting denied claims, following up with insurance carriers regarding claims that have not been responded to, reviewing insurance carriers websites to gather patient deductible information and answering incoming patient phone calls.
Based at: GLMI Billing Office - with remote capability
Our Values
As a member of the team at GLMI it is expected that you embody the Great Lakes Way in your daily actions here.
Personalize the Experience

• Take time to listen to and understand others.
• Create a tone of friendliness and warmth in conversations with patients, peers, and associates.
• Act on opportunities to go above and beyond.
• Respectfully interact with patients, peers, and associates at their pace and level.
• Demonstrate patience and compassion when interacting with patients, peers, and associates.
• Greet with eye contact and share a smile.

Own it, Do it

• Follow up on inquiries promptly and accurately.
• Communicate clearly, respectfully, and in a timely manner.
• Anticipate and prevent potential problems.
• Take personal responsibility for your work area and the quality of your work.
• Do what you say you will do.
• Be responsible and efficient with Great Lakes resources (time, scheduling, property, equipment, etc.).

Perform as One Team

• Be flexible and embrace changes with a positive attitude.
• Recognize and share successes of the Great Lakes Way in action.
• Demonstrate respect and attentiveness to team members when communicating.
• Proactively offer to help others.
• Speak positively about Great Lakes, team members, and patients.
• Contribute to a fun, energetic, and positive work environment.
• Practice blameless problem solving, assuming the positive intentions of others.

Strive for Excellence

• Ask for, accept, and use feedback.
• Look for and act on opportunities for continuous improvement.
• Be relentless about acting on opportunities to learn and improve.
• Share information, knowledge, and expertise.

Duties And Responsibilities Include The Following

• Process real-time Medicaid claims through Epaces
• Ability to prioritize workload
• Identify and re-work denied claims
• Ability to focus and successfully meet monthly goals set by management
• Ability to review and understand insurance EOB
• Follow up with insurance carriers on unpaid accounts
• Answer incoming patient phone calls and process payments
• Ability to adhere to Policy and Procedures set companywide and interdepartmentally
• Review insurance carriers websites to identify patient out of pocket expenses
• Make outgoing calls to patients to advise of out of pocket expenses prior to visit
• Other duties as assigned by management
• Ability to use and understand insurance carriers websites

Necessary Skills

• Ability to establish and maintain effective working relationships with patients and employees
• Knowledge of Excel
• Skill in answering a telephone in a pleasant and helpful manner
• Ability to operate a computer and basic office equipment
• Ability to read, understand and follow oral and written instructions
• Must be well organized and detail oriented. Must be able to multi-task

Physical And Mental Requirements

• May be asked to lift up to 25 pounds
• Will be required to read, write, work in a fast-paced office setting
• Ability to listen and communicate with patients face to face or over the phone
• Must have mental and physical capabilities to perform all tasks listed above
• Standing, walking, sitting, keyboard use for long periods of time
• Ability to make decisions and think quickly

Qualifications: High school diploma or GED.
Job Posted by ApplicantPro