Revenue Cycle Specialist
Signature Performance
About You You are a person who is passionate about timely and effective follow-up on outstanding insurance claims to ensure accurate and prompt reimbursement. In the role of Follow Up Specialist, you will be responsible for analyzing account activity, investigating denied or unpaid claims, and working with insurance payers and internal departments to resolve issues and expedite payment.
- Tell us about your experience with Follow Up.
- Are you a team player and a self-motivator?
- We are counting on you to manage multiple projects using your problem-solving skills.
- We are looking for someone UNCOMMON. What is uncommon about you?
- Follow up on assigned insurance claims to ensure timely and accurate payment.
- Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim status.
- Contact insurance companies via phone, web portals, or written communication to resolve claim issues.
- Identify and appeal denied or underpaid claims based on payer guidelines and documentation.
- Collaborate with billing, coding, and clinical staff to obtain necessary documentation for claims resolution.
- Update patient account notes in the billing system with clear and concise follow-up actions and outcomes.
- Monitor aging reports and prioritize work based on payer deadlines and account balance.
- Ensure compliance with federal, state, and payer-specific regulations and policies.
- Meet individual and team performance goals, including productivity and quality standards.
- Participate in departmental meetings, training sessions, and quality improvement initiatives as required.
- High school diploma or equivalent required; Associate's degree in healthcare or business preferred.
- Minimum of 4 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
- Experience working with Indian Healthcare, Commercial Payers, and worker compensation accounts.
- Knowledge of insurance payer requirements, CPT/ICD coding, and medical terminology.
- Strong understanding of healthcare claim submission and adjudication processes.
- Experience working with electronic health records (EHRs) and billing systems (e.g., Epic, Meditech, Artiva, etc.).
- Excellent verbal and written communication skills.
- Ability to work independently, manage time effectively, and handle multiple priorities.
- Strong analytical and problem-solving skills
- Health Insurance
- Fully Paid Life Insurance
- Fully Paid Short- & Long-Term Disability
- Paid Vacation
- Paid Sick Leave
- Paid Holidays
- Professional Development and Tuition Assistance Program
- 401(k) Program with Employer Match
- U.S. Citizenship or naturalized citizenship is required for this position.
- All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.
Vacancy posted 15 hours ago
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