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

• 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.
• Act on opportunities to go above and beyond.
• Take time to listen to and understand others.
• Create a tone of friendliness and warmth in conversations with patients, peers, and associates.

Own it, Do it

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

Perform as One Team

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

Strive for Excellence

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

Duties And Responsibilities Include The Following

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

Necessary Skills

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

Physical And Mental Requirements

• Will be required to read, write, work in a fast-paced office setting
• Standing, walking, sitting, keyboard use for long periods of time
• 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
• May be asked to lift up to 25 pounds
• Ability to make decisions and think quickly

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