Insurance Follow Up Specialist

UR Solutions is a minority-owned medical solutions firm with extensive experience in inpatient and emergency room utilization review, denials management, and administrative third-level appeals. UR Solutions also provides clients with unmatched actuarial advising aimed at maximizing efficiency and revenue. LOCATION Towson, MD JOB SKILLS Full time position to work in our insurance/appeals departments. Three (3) years of Experience preferred. Will be responsible for both telephone and computer work. Please send resume with salary requirements. Knowledge of Midas, EPIC, Meditech or Powerchart a Plus SALARY Competitive JOB DESCRIPTION Telephones third-party payors who have not resolved, appeals or other claims related issues in a timely manner. Uses written follow-up to third-party payors as necessary. Responsible for learning and applying follow-up techniques for all third-party payors. Request rebilling of claims as needed. SKILLS & QUALIFICATIONS High school graduation required and bachelors degree preferred Requires basic working knowledge of insurance payer’s billing, and appeal practices. Ability to obtain payer specific details, as necessary, and is able to complete additional payer billing as needed. Excellent communication and interpersonal skills. Excellent organizational skills to manage multiple tasks in a timely manner. Proficient uses of hospital practice management systems, personal computers as well as spreadsheet and word processing applications (Microsoft Excel and Word). Requires some knowledge of medical terminology. Candidate must have experience working with multiple MCO, Medicare, and Medicaid Insurance companies Be able to answer calls inbound, make outbound calls Provide thorough, efficient, and accurate account notes on computer files for each call made or received. Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations that regulate the collection industry, such as the FDCPA and HIPAA. Works with clinicians to perform analyses related to appeals, health information, and health resource utilization. Highly skilled in data analysis, reporting and formulating recommendations. Maintains databases to track business performance. Analyzes data and summarizes performance. Experience with relational databases and knowledge of query tools and statistical software is preferred. Strong analytical, organizational, presentation and problem solving skills. Perform other duties as assigned by management. #J-18808-Ljbffr UR SOLUTIONS