UF Health
Insurance Specialist II | Business Office | Full-time | Days
UF Health, St. Augustine, Florida, United States
Insurance Specialist II | Business Office | Full-time | Days
Join to apply for the Insurance Specialist II | Business Office | Full-time | Days role at UF Health. Overview
Monday through Friday 8am to 4:30pm. The Insurance Specialist II is responsible for follow up on new and outstanding accounts in a professional and consistent manner. Accurately document account statuses, notes, etc. in the AR management system. Maintains compliance with FDCPA, FCRA, HIPAA plus local, state and federal regulations. Demonstrates attention to detail, achieves the determined production and quality expectations and works well under pressure. Responsibilities Responsible for claims processing and timely insurance follow up. Provides customer service to all patients and authorized representatives regarding patient accounts in accordance with practice protocol. Provides exceptional customer service with all payers. Relays information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to management. Recognizes trends in the aging reports and works with payers to decrease response/payment turnaround. Working knowledge of billing claims system. Review, understand, and work unpaid claim denials and rejections, makes necessary corrections through worklists and reporting tools. Conducts eligibility and denial reviews. Responds promptly to all correspondence (fax, email, telephone, mail) and ensures that all timely filing deadlines are met where applicable. Initiates appeal requests per payer guidelines in timely manner. Verifies all demographic and insurance information in patient registration and provides feedback to other front office staff members to ensure accuracy and timely reimbursement. Ability to research, understand and educate on payer contracts when needed. Monitors various payers bulletins and educational updates to provide information to appropriate team members. All other duties as assigned by department.
Qualifications
Education / Training
High School Diploma/Equivalent Experience Requirements
5 to 7 years Insurance Follow-up Denials, Appeals
Preferences
Extensive working knowledge of insurance accounts receivable collections and claims follow up. Extensive working knowledge of Florida payer guidelines and insurance carrier payment rules. Ability to appeal claims based on extensive working knowledge of how to solve payer/claim related issues. Familiarity with claim software and clearinghouse. Familiarity with both government and commercial insurance plans. Experience with denial and appeal process.
Note: This description reflects the responsibilities and qualifications for the Insurance Specialist II | Business Office | Full-time | Days role and may be used for internal job postings and applicant notifications. #J-18808-Ljbffr
Join to apply for the Insurance Specialist II | Business Office | Full-time | Days role at UF Health. Overview
Monday through Friday 8am to 4:30pm. The Insurance Specialist II is responsible for follow up on new and outstanding accounts in a professional and consistent manner. Accurately document account statuses, notes, etc. in the AR management system. Maintains compliance with FDCPA, FCRA, HIPAA plus local, state and federal regulations. Demonstrates attention to detail, achieves the determined production and quality expectations and works well under pressure. Responsibilities Responsible for claims processing and timely insurance follow up. Provides customer service to all patients and authorized representatives regarding patient accounts in accordance with practice protocol. Provides exceptional customer service with all payers. Relays information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to management. Recognizes trends in the aging reports and works with payers to decrease response/payment turnaround. Working knowledge of billing claims system. Review, understand, and work unpaid claim denials and rejections, makes necessary corrections through worklists and reporting tools. Conducts eligibility and denial reviews. Responds promptly to all correspondence (fax, email, telephone, mail) and ensures that all timely filing deadlines are met where applicable. Initiates appeal requests per payer guidelines in timely manner. Verifies all demographic and insurance information in patient registration and provides feedback to other front office staff members to ensure accuracy and timely reimbursement. Ability to research, understand and educate on payer contracts when needed. Monitors various payers bulletins and educational updates to provide information to appropriate team members. All other duties as assigned by department.
Qualifications
Education / Training
High School Diploma/Equivalent Experience Requirements
5 to 7 years Insurance Follow-up Denials, Appeals
Preferences
Extensive working knowledge of insurance accounts receivable collections and claims follow up. Extensive working knowledge of Florida payer guidelines and insurance carrier payment rules. Ability to appeal claims based on extensive working knowledge of how to solve payer/claim related issues. Familiarity with claim software and clearinghouse. Familiarity with both government and commercial insurance plans. Experience with denial and appeal process.
Note: This description reflects the responsibilities and qualifications for the Insurance Specialist II | Business Office | Full-time | Days role and may be used for internal job postings and applicant notifications. #J-18808-Ljbffr