Professional Insurance Follow-Up Specialist I
On-siteOklahoma City, Oklahoma, United States
Job Summary
Contact insurance companies and patients daily to confirm claim receipt, obtain payment, and resolve denials within 90 days of billed dates. Investigate pending accounts using assigned work lists and weekly correspondence, then update help desk tickets with statuses and outcomes. Answer inquiries within 48 hours to maximize reimbursement, ensuring all actions are documented clearly and completely. Manage Medicare, Medicaid, and commercial encounters via web portals while adhering to timely filing deadlines. Requires one year of health care experience, knowledge of third-party reimbursement systems, and proficiency with the Medicare online system.
Required Qualifications
- High School Diploma or Equivalent
- One (1) year job related experience in Health Care
- Knowledge of third-party reimbursement, including Medicare, Medicaid and commercial insurance
- Experience with the Medicare online system
- Excellent Customer Service background
- Good investigative skills
- Telephone techniques
- Good oral and written communication skills
- Proven organization skills
- Foundational knowledge of information systems
- Experience with the Medicare online system and Payer portals
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