Insurance Billing and Follow Up Specialist II

• Remote: Yes
• Area of Interest: Patient Services
• FTE/Hours per pay period: 1.0
• Department: CBO- Physician
• Shift: 8
• Job ID: 162757
  
  

UnityPoint Health Information

Why UnityPoint Health?

Commitment to our Team – 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.

Culture – At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and an unwavering belief in doing what's right for the people we serve.

Benefits – Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.

• Caring is what we do, and it starts with our team members: expect paid time off, parental leave, 401K matching and an employee recognition program as we support you both personally and professionally.
• You can only give your best when you feel your best, and we help you live well with dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members to give you peace of mind.
• We strive to make things easier and more personal in health care to set us apart from the rest, and you can experience that commitment through early access to earned wages with Daily Pay, a tuition reimbursement program designed to help you further your career and adoption assistance to help you grow your family in the way that works for you.
  
  

Diversity, Equity and Inclusion Commitment – At UnityPoint Health, we honor the ways people are unique and embrace what brings us together. Our collective goal is to champion a culture of belonging where everyone feels valued and respected.

Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.

Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.

Hear more from our team members about why UnityPoint Health is a great place to work at https://dayinthelife.unitypoint.org

What are team member vaccine requirements?

As part of keeping our communities safe and healthy, all team members must be vaccinated for influenza and Tdap, provide proof of immunity to MMR and varicella, and be tested for tuberculosis. New hires must submit proof of vaccination or an approved exemption to begin work. If you have questions, please contact a recruiter or ask at any time during the interview process. UPH strongly recommends that all team members receive the updated COVID-19 vaccine, and at this time, UnityPoint Health – Meriter requires Covid-19 vaccination or an approved exemption.

Overview

The Insurance Billing and Follow Up Specialist II 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.

Location: Remote - Candidates preferrably live in the UnityPoint Health geographical locations of Iowa, Illinois, or Wisconsin.

Hours: Monday-Friday 8am-5pm

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
  
  

Qualifications

• High school graduate or GED equivalent
• Medical billing experience preferred