Thank you so much for your interest! This opportunity is local to Cherry Hill NJ and is fully onsite to start for the first 60 days and then will convert to hybrid (3 days onsite / 2 remote). The most important experience needed is submitting medical bills/claims to insurance payers and then following up to ensure said bills/claims are paid. If you have not followed up to get the claims paid, we will not be able to submit you.
Title: Insurance Follow Up Specialist
Location: Cherry Hill NJ 08002
Pay Rate: $17-25/hr
- 1-2yr: 17-18
- 2-3yr: 18-19
- 3-4yr: 19-20
- 4-5yr: 20-21
- 5-6yr: 21-22
- 7yrs+: 22-25
Duration: 6 month Contract-to-hire
Schedule: Monday – Friday, 8-4:30PM – no weekends or holidays required
- first 60 days onsite, and will then be HYBRID (Monday and Friday WFH), own equipment is required to WFH
Interviews: One-and-Done (onsite)
Must Haves:
- HS Diploma or GED
- 1+ year of medical billing FOLLOW UP experience (claims edits/submissions)
- Familiar with various insurance carriers
- Knowledgeable in commercial and government payers
- NThrive experience or EPIC Experience
- Understanding of Medical Terminology including CPT and ICD-10 Codes
- Ability to handle 55+ claims daily
- Excellent communication skills
Job Description
One of our healthcare clients located in Cherry Hill, NJ is seeking a Medical Biller/Follow Up Rep to join their team. This individual will be responsible for making claim edits before they are submitted to the payer. This will include but not limited to, reviewing medical coding charts and documentation to review for accuracy, "cleaning the claim" before submission, and monitoring the status after being sent. This will be a production-based environment with the expectation of 55-75 claims submitted per day (depending on account you are aligned to).
- Resolve billing discrepancies and denials/rejections promptly and efficiently
- Analyzing/Understanding Explanation of Benefits (EOB) or Remittance Advice (ERA) received from an insurance carrier and take appropriate action according to company guidelines/processes per the client
- Follow-up with insurance companies via phone calls or payer portals on denials/payments
- Ability to find trends and able to research payer policies/guidelines to provide back to the management team
- Correcting and resubmitting claims
- Documentation and data entry
- Able to monitor accounts receivable follow up Work Queues/Reports
- Other duties as assigned
