Mobile Medical Response
Overview
Objective:
The Claims Follow-up Specialist follows-up on Medicare/Medicaid, Blue Cross Blue Shield, Patient Pay and Commercial Payers to effectively and professionally resolve customer and insurance companies’ questions and inquiries. Maintain HIPAA compliance and support the Mission Statement, Policy/Procedures and standards of MMR.
Responsibilities
Medicare/Medicaid Follow-up: Complete Medicare over 50 mile requests, process follow up rejections/denials and appeals for Medicare and Medicaid claims.
Process Medicare and Medicaid refunds.
Follow-up on lacking Medicare Signatures via mail/phone calls.
Serve as final point of contact for incoming customer service calls. Assist callers and provide assistance to patients, payers and others as needed.
Process credit card payments and facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate, establish payment arrangements or seek completion of a charity questionnaire.
Contact patients and/or insurance companies to obtain the correct billing information.
Resubmit accounts when new or corrected information is obtained from the caller or payer.
Enter patient demographics as required from information gathered from correspondence or telephone contacts.
Blue Cross Blue Shield (BCBS) Follow-up: Complete BCBS/Patient Care Report (PCR) information requests; process BCBS rejections/denials; process BCBS refunds.
Handle incoming calls and assist patients, payers and others as needed. Process credit card payments and, when appropriate, establish payment arrangements or seek completion of a charity questionnaire.
Contact patients and/or insurance companies to obtain the correct billing information; resubmit accounts with updated information; enter patient demographics as required.
Commercial Follow-up: Secondary Call Taker; assist incoming calls and provide assistance to patients, payers and others as needed; process mail returns; follow-up with commercial payers including auto; assist Patient Pay follow-up as necessary; process commercial insurance refunds.
Process credit card payments and facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate, establish payment arrangements or seek completion of a charity questionnaire.
Contact patients and/or insurance companies to obtain the correct billing information; resubmit accounts with new or corrected information; enter patient demographics as required.
Patient Pay Follow-up: Primary call taker; assist incoming calls and provide assistance to patients, payers and others as needed; process return mail and change of address (NCOA); place accounts in collections after determining no active insurance to bill; process patient refunds.
Process credit card payments and facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate, establish payment arrangements or seek completion of a charity questionnaire.
Contact patients and/or insurance companies to obtain the correct billing information; resubmit accounts with new or corrected information; enter patient demographics as required.
Perform other duties as assigned.
Knowledge, Skill and Competency Requirements
Proficiency with billing the following insurances: Medicare, Medicaid, BCBS, Commercial.
Effective verbal and written communication with customers and patients in a professional manner.
Proficiency with insurance websites (e.g., C-Snap, Champs, Web Denis) within 2 months after date of hire.
Strong reading skills to comprehend healthcare correspondence and materials; ability to maintain security and confidentiality with utmost discretion.
Ability to communicate effectively in English; organize tasks to ensure timely completion of projects.
Advanced computer skills on Windows; operating standard office equipment; proficiency with Microsoft Word and Excel.
Regular attendance and timeliness; accurate typing, data entry, scanning, electronic filing and document retrieval.
Education: High School Diploma; Age 18 or older.
Physical Factors Physical:
Suitable dexterity to operate standard office equipment. Ability to sit or stand for extended periods.
Working Conditions Most work is performed in a typical office setting with daily in-person attendance as an essential function. Hours must be flexible to meet the demands of the office. Work involves desktop computer, telephone, copier, fax, scanner and other standard office equipment.
Job Details
Seniority level: Entry level
Employment type: Other
Job function: Finance and Sales
Industries: Hospitals and Health Care
We are not including external references or unrelated job postings in this refined description.
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Objective:
The Claims Follow-up Specialist follows-up on Medicare/Medicaid, Blue Cross Blue Shield, Patient Pay and Commercial Payers to effectively and professionally resolve customer and insurance companies’ questions and inquiries. Maintain HIPAA compliance and support the Mission Statement, Policy/Procedures and standards of MMR.
Responsibilities
Medicare/Medicaid Follow-up: Complete Medicare over 50 mile requests, process follow up rejections/denials and appeals for Medicare and Medicaid claims.
Process Medicare and Medicaid refunds.
Follow-up on lacking Medicare Signatures via mail/phone calls.
Serve as final point of contact for incoming customer service calls. Assist callers and provide assistance to patients, payers and others as needed.
Process credit card payments and facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate, establish payment arrangements or seek completion of a charity questionnaire.
Contact patients and/or insurance companies to obtain the correct billing information.
Resubmit accounts when new or corrected information is obtained from the caller or payer.
Enter patient demographics as required from information gathered from correspondence or telephone contacts.
Blue Cross Blue Shield (BCBS) Follow-up: Complete BCBS/Patient Care Report (PCR) information requests; process BCBS rejections/denials; process BCBS refunds.
Handle incoming calls and assist patients, payers and others as needed. Process credit card payments and, when appropriate, establish payment arrangements or seek completion of a charity questionnaire.
Contact patients and/or insurance companies to obtain the correct billing information; resubmit accounts with updated information; enter patient demographics as required.
Commercial Follow-up: Secondary Call Taker; assist incoming calls and provide assistance to patients, payers and others as needed; process mail returns; follow-up with commercial payers including auto; assist Patient Pay follow-up as necessary; process commercial insurance refunds.
Process credit card payments and facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate, establish payment arrangements or seek completion of a charity questionnaire.
Contact patients and/or insurance companies to obtain the correct billing information; resubmit accounts with new or corrected information; enter patient demographics as required.
Patient Pay Follow-up: Primary call taker; assist incoming calls and provide assistance to patients, payers and others as needed; process return mail and change of address (NCOA); place accounts in collections after determining no active insurance to bill; process patient refunds.
Process credit card payments and facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate, establish payment arrangements or seek completion of a charity questionnaire.
Contact patients and/or insurance companies to obtain the correct billing information; resubmit accounts with new or corrected information; enter patient demographics as required.
Perform other duties as assigned.
Knowledge, Skill and Competency Requirements
Proficiency with billing the following insurances: Medicare, Medicaid, BCBS, Commercial.
Effective verbal and written communication with customers and patients in a professional manner.
Proficiency with insurance websites (e.g., C-Snap, Champs, Web Denis) within 2 months after date of hire.
Strong reading skills to comprehend healthcare correspondence and materials; ability to maintain security and confidentiality with utmost discretion.
Ability to communicate effectively in English; organize tasks to ensure timely completion of projects.
Advanced computer skills on Windows; operating standard office equipment; proficiency with Microsoft Word and Excel.
Regular attendance and timeliness; accurate typing, data entry, scanning, electronic filing and document retrieval.
Education: High School Diploma; Age 18 or older.
Physical Factors Physical:
Suitable dexterity to operate standard office equipment. Ability to sit or stand for extended periods.
Working Conditions Most work is performed in a typical office setting with daily in-person attendance as an essential function. Hours must be flexible to meet the demands of the office. Work involves desktop computer, telephone, copier, fax, scanner and other standard office equipment.
Job Details
Seniority level: Entry level
Employment type: Other
Job function: Finance and Sales
Industries: Hospitals and Health Care
We are not including external references or unrelated job postings in this refined description.
#J-18808-Ljbffr