Insurance Follow-Up Specialist

Insurance Follow Up Specialist

Everything we do is underscored by a why and that why is one another.

Location: Altru Health System PO Box 6002 Grand Forks, ND 58201 Pay Range: $17.07 - $25.60

Summary: The Insurance Follow Up Specialist assists patients with inquiries for the clinic and hospital billing system and reviews and submits insurance claims. The specialist monitors insurance EOB's and denials, ensuring proper payment is made. This position tracks pending eligibilities and unpaid claims, and works credit balances and payment work queues.

Essential Job Functions:

• Reviews and monitors insurance EOBs and denials to ensure proper payment.
• Edits, prepares, and submits insurance claims to the appropriate party.
• Assists patients with billing inquiries via written communication, telephone, or in person.
• Tracks pending eligibility and unpaid claims and manages credit balances and underpayment work queues.
• Pursues reimbursement from carriers through phone calls and documents contacts in an electronic tracking system.
• Coordinates third-party collections and works towards reducing outstanding balances.
• Conducts insurance follow-up on all final billed claims.
• Manages claims in assigned worklists to meet or exceed productivity standards.
• Ensures timely submission of claims to the responsible party within filing limit guidelines.
• Communicates with insurance payors by telephone or online regarding non-payment.
• Reviews and edits rejections from electronic billing submissions, correct, and resubmit claims.
• Verifies the accuracy of patient insurance and demographic information.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Education: Preferred: Associates - Business Administration/Management OR Associates - Related Field

Work Experience: Required: A minimum of 2 years related experience

Language Requirements: This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Physical Demands:

Sit: Frequently (34-66%) Stand: Occasionally (5-33%) Walk: Occasionally (5-33%) Stoop/Bend: Rarely (1-4%) Reach: Frequently (34-66%) Crawl: Not Applicable Squat/Crouch/Kneel: Rarely (1-4%) Twist: Occasionally (5-33%) Handle/Finger/Feel: Continuously (67-100%) See: Continuously (67-100%) Hear: Continuously (67-100%)

Weight Demands:

Lift -Floor to Waist Level: Sedentary (<10 pounds) Carry: Sedentary (<10 pounds) Push/Pull: Sedentary (<10 pounds) Slide/Transfer: Not Applicable

Working Conditions:

Indoor: Continuously (67-100%) Outdoor: Not Applicable Extreme Temperature: Not Applicable

Driving Requirement Definitions:

• Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
• Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
• Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
• Infrequent Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position: Infrequent Driver Reference ID: R8045

Making a real difference. For one another.

To take the best care of our patients and community including friends, family, and neighbors we need people who are committed to growth, excellence, and one another.

At Altru, you'll find a culture where support and teamwork are at the heart of what we do. You'll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.

Join our team and be a part of a small community with a big heart.

Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)