Insurance Billing and Follow Up Specialist I

Job Overview

Overview

Insurance Billing and Follow Up Specialist I

Dubuque, IA

Monday-Friday 8:00AM-5:00PM

Full Time Benefits

Insurance Billing and Follow Up Specialist I will be responsible for performing billing and follow-up functions, including the investigation of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that claims are paid in a timely manner. This position requires strong decision making ability around complex claims processing workflows and regulations that requires utilization of data coming from multiple resources. To evaluate billing and Follow-Up issues appropriately, Reps will need to have an understanding of the entire Revenue Cycle and be able to interact with Government and Commercial insurances

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:    

• Expect paid time off, parental leave, 401K matching and an employee recognition program.

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.  

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

• Billing and Follow Up Responsibilities
  

  • Work with centralized cash posting team to resolve missing or unposted remits
  

  • Ensure all claims are accurately transmitted daily and all appropriate documentation is sent when required
  

  • Verify eligibility and claims status on unpaid claims
  

  • Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication.
  

  • Work accounts in assigned queues in accordance with departmental guidelines.
  

  • Work directly with third party payers and internal/external customers toward effective claims resolution.

• Assist patients courteously with billing questions, payments, and complaints over the phone.
• Review and update patient information, making necessary changes and capturing correct patient demographics and insurance information.
• Prepare commercial insurance checks to be posted.
• Process, research, and post all personal payments to patient accounts with accuracy.
• Provide Good Faith Estimates to patients prior to appointments.
• Prepare refunds appropriately and accurately.
• Assist with updating and maintaining proper billing alerts and notifying patients of alerts prior to appointment.

Qualifications

Education

High school graduate or GED equivalent

License(s)/Certification(s)

Valid driver’s license when driving any vehicle for work-related reasons.