Description

　　Robert Half is helping a business that is looking to hire an Insurance Follow-Up Specialist in a hospital billing department. This position plays a crucial role in managing financial transactions related to patient accounts. The primary responsibilities are listed below. If you meet the qualifications or have experience that translates well to the position and are up to the challenge of learning, please apply to this contract-to-hire opportunity!

　　Insurance Verification:

　　Verify patient insurance information to ensure accurate billing.

　　Confirm coverage details, policy limits, and eligibility.

　　Claims Submission:

　　Prepare and submit insurance claims electronically or through paper submissions.

　　Ensure that all required documentation is attached to support the claim.

　　Follow-Up on Unpaid Claims:

　　Monitor and track outstanding claims to insurance companies.

　　Investigate and address reasons for claim denials or rejections.

　　Payment Posting:

　　Record and post payments received from insurance companies.

　　Reconcile payments with billed amounts and identify discrepancies.

　　Denial Management:

　　Analyze denied claims and take necessary actions to resolve issues.

　　Appeal denied claims when appropriate, providing additional information or clarification.

　　Patient Billing Inquiries:

　　Assist patients with billing inquiries related to insurance coverage and claims.

　　Provide explanations of benefits and help resolve any discrepancies.

　　Aging Reports:

　　Generate and review aging reports to identify overdue accounts.

　　Develop strategies to address and collect on overdue accounts.

　　Communication with Insurance Companies:

　　Establish and maintain communication with insurance representatives.

　　Negotiate and resolve issues related to claims processing and payment.

　　Compliance:

　　Ensure compliance with healthcare regulations and billing guidelines.

　　Stay informed about changes in insurance policies and billing procedures.

　　Documentation and Reporting:

　　Maintain accurate and organized records of all transactions.

　　Generate reports on accounts receivable status, claim processing, and collections.

　　Team Collaboration:

　　Collaborate with other departments within the hospital, such as coding and billing teams.

　　Participate in meetings to discuss process improvements and address challenges.

　　Requirements

　　1+ year experience in medical insurance claims follow-up

　　General knowledge of accounts receivable procedures

　　Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

　　Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

　　All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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