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

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

Own it, Do it

• 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.
• Be responsible and efficient with Great Lakes resources (time, scheduling, property, equipment, etc.).
• Follow up on inquiries promptly and accurately.
• Do what you say you will do.

Perform as One Team

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

Strive for Excellence

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

Duties And Responsibilities Include The Following

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

Necessary Skills

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

Physical And Mental Requirements

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

Qualifications: High school diploma or GED.

Job Posted by ApplicantPro