Temporary Hospital Billing Follow-Up Specialist

Job Title: Billing Follow-Up Specialist
Duration: 03+ Months + Possibility of extension
Location: Salinas, CA 93901
Shift/Schedule Details: Monday - Friday, 8a-4:30p with flexibility needed .Office or remote (depending on expertise of worker)



Responsibilities:
The Temporary Hospital Billing Follow-Up Specialist is responsible for supporting Patient Financial Services by reviewing outstanding claims, performing timely follow-up with payers, correcting claim errors, and ensuring accurate and prompt reimbursement. This temporary role assists in reducing aging accounts receivable and supports workflow backlogs.
1. Claims Follow-Up
• Review assigned aging accounts and identify claims requiring follow-up.
• Contact insurance payers (commercial, Medicare, Medicaid, Managed Care, etc.) via phone, portals, and written correspondence.
• Document payer responses and next steps accurately within the billing system.


2. Claims Resolution & Corrections
• Correct and resubmit denied or rejected claims as needed.
• Research missing information, obtain medical records, or request coding updates when necessary.
• Resolve billing discrepancies and ensure claims meet payer requirements, which could include the handling of provider disputes.


3. Account Documentation
• Maintain detailed notes of all actions taken in the patient account record.
• Update account statuses and escalate complex issues to Management.


4. Internal Communication
• Communicate with internal departments (coding, registration, medical records) to resolve claim-related issues.
• Notify Management of any payer trending issues or concerns.


5. Productivity & Compliance
• Meet daily/weekly productivity and quality standards.
• Follow HIPAA, hospital policies, and billing compliance guidelines.



Skills & Competencies
• Attention to detail and accuracy
• Ability to manage multiple accounts and meet deadlines
• Strong communicative mindset
• Analytical thinking and ability to interpret payer remittances
• Proficiency with spreadsheets and billing platforms


Work Environment
Office or remote (depending on expertise of worker)
Standard work hours (Monday - Friday 8:00am - 4:30pm), with flexibility needed depending on department workload
Fast-paced, high-volume environment requiring high productivity