Offer summary

Qualifications:

High school graduate or GED equivalent is required., Strong interpersonal skills and effective written and verbal communication abilities are essential., Basic computer skills and a customer/patient-focused attitude are necessary., Ability to work collaboratively in a team and demonstrate professionalism is important..

Key responsibilities:

Resolve billing errors and ensure timely filing of all claims.

Verify eligibility and claims status on unpaid claims and take corrective actions as needed.

Respond to customer service inquiries and perform charge corrections when necessary.

Work with third party payers and internal/external customers to achieve effective claims resolution.

Job description

Remote: Yes
Area of Interest: Patient Services
FTE/Hours per pay period: 1.0
Department: CBO- Physician
Shift: Monday-Friday, days
Job ID: 165182

Overview

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 with strong preference for candidates residing within the UPH geographies of Iowa, Illinois, & Wisconsin.

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:    

Expect paid time off, parental leave, 401K matching and an employee recognition program.
Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.  

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

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.