insurance follow up specialist

Bayhealth

<p></p><div><div><p>If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?
 </p></div><div><p>Bayhealth Medical Center is Central and Southern Delaware&rsquo;s healthcare leader with hospitals in Dover and Milford, a s well as stand -alone Emergency Department in Smyrna and a hybrid E mergency Department and Urgent Care in Milton . We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore . Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!
</p></div><p></p><div><p>Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:
</p></div><p></p><div><ul><li>Generous Paid Time Off and Paid Holidays
</li><li>Matching 401(k)/403(b) Plans
</li><li>Excellent Health, Dental, and Vision
</li><li>Disability and Life Insurance options
</li><li>On Site Child Care
</li><li>Educational Reimbursement
</li><li>Health Care and Dependent Care Flex Spending Accounts
</li><li>Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!
</li></ul></div><p></p><p><b>Location: 30 Old Rudnick Ln
</b></p><p><b>Status: </b>Full Time 80 Hours
</p><p><b>Shift: </b>Days
</p><p><b>SALARY RANGE: </b>19.18 - 28.77HOURLY<br>
<br>
</p><p><b>General Summary:
</b></p><p></p><p>The Insurance Follow-Up and Collections Specialist is responsible for following up on all hospital and/or professional insurance claims. The position requires advanced knowledge of all payers and claim types, and the ability to prioritize workflow to meet insurance company filing deadlines for claim submission, claim reconsiderations, and appeals, and achieve targeted receivables monthly, and expedite cash flow. Specific duties involve researching unpaid claims, responding to insurance company information requests, submitting reconsiderations for partially paid claims, interpreting payer denials and reviewing medical records as appropriate, appealing denied claims and resolving payment variances as encountered to facilitate timely patient billing. As needed, the Specialist will make accurate recommendations for system or process changes to mitigate denials. The Specialist also serves as a subject matter expert for colleagues concerning expected reimbursement, denials, and other insurance company contract requirements and/or conflicts.<br>
</p><br>
<p><b>Responsibilities:
</b></p><p>1. Follows up on unpaid claims and appeals via telephone or web-based claim inquiries. Completes imaging system correspondence work queue(s) as appropriate. Identifies and performs appropriate contract and/or other denial related write offs. Research missing payments via undistributed work queues and apply the payment to the correct invoice. Documents accounts thoroughly and appropriately with all information concerning claim and expected payment status and necessary follow up action taken to secure payment.
<br>
2. Verifies insurance eligibility, corrects claim errors, submits claim reconsiderations, writes appeals, and provides requested information to resolve denied claims. Interacts with various long term care offices to correct denials as appropriate.
<br>
3. Interprets payer denials, reviews submitted claim information, and medical records to understand the denial. Refers denied claims to correct department work queue with coding recommendations or other clarification questions as needed to resolve the denial; resubmits denied claims with revised information. Refers patients for Financial Assistance based on Medicare/Medicaid benefits exhausted and delayed lower level of care placement scenarios.
<br>
4. As applicable, converts denied inpatient admissions to observation claims based on the insurance company approving observation.
<br>
5. Contacts patients to resolve insurance company-initiated information requests as needed to facilitate claim payment.
<br>
6. Reviews and interprets Federal and State regulations for Medicare and Medicaid and contract terms for Managed Care, Commercial, and Workers Compensation as applicable.
<br>
7. Understands Bayhealth&rsquo;s contracted reimbursement rates. Reviews insurance company payment variances and, as needed, calculates expected reimbursement for outlier claims and claims with days denied as not medically necessary. Pursues underpaid claims and submits overpayments for refunds. Documents inappropriate denial and payment variances on spreadsheets, participates in calls with insurance company provider representatives, and accurately communicates variance reasons and expected resolution.
<br>
8. Processes credit balances; submits overpayments electronically to insurance companies who require electronic submission to correct the overpayment. As applicable, reviews the third-party vendor submitted refunds for accuracy.
<br>
9. Escalates insurance company and internal claim related issues to management as appropriate for resolution.
<br>
10. Serves as a subject matter expert for colleagues internal and external to PFS. Accurately researches payer issues and provides payer/plan specific education on billing and/or claim requirements. Ensures requests for system and process changes are thoroughly examined before making management recommendations.
<br>
11. As appropriate, performs Medicare and Medicare Advantage transfer DRG recoveries. Thoroughly researches the Medicare Direct Data Entry system, contacting sub acute facilities and home health agencies as needed to determine revenue recovery opportunities. Submits necessary adjusted claims to recover withheld revenue within payer filing limits. Tracks all claim findings and results in Excel spreadsheet and reports results to management monthly.
<br>
12. Maintains established department productivity minimums.
<br>
13. All other duties as assigned within the scope and range of job responsibilities<br>
<br>
<br>
</p><p><b>Required Education, Credential(s) and Experience:
</b></p><ul><li>Education: High School Diploma or GED
<br>
;
<br>
;
<br>
</li><li>Credential(s): ;
</li><li>Experience: <b>Required: </b>Three years&rsquo; experience in hospital and/or physician billing and collections.<br>
<br>
<p></p><p><b>Preferred: </b>Four years hospital billing or collections experience.
</p></li></ul><p><b>Preferred Education, Credential(s) and Experience:
</b></p>Education: Associate Degree<br>
<ul><li>
<br>
<br>
<br>
</li>Credential(s): Certified Revenue Cycle Specialist<br>
<li>
<br>
<br>
</li><li>Experience:
</li></ul><p>To view a full list of all open position at Bayhealth, please visit:
</p><p>https://apply.bayhealth.org/join/</p></div>

Insurance Follow-Up Specialist

Cook Children's Health Care System

<div><div>Location:</div><div></div>
Calmont Operations Building<div></div><div>
Department:</div><div></div>
CBO/PT Financial Services<div></div><div>
Shift:</div>
First Shift (United States of America)<div></div><div>
Standard Weekly Hours:</div><div></div>
40<div></div><div>
Summary:</div><div></div><div>
The Account Specialist II, Insurance Follow-Up &amp; Denials Management is responsible for all insurance follow-up responsibilities for Cook Childrens Physician Network. Primary duties are; follow-up, analysis, and resolution of outstanding insurance claims; initiation of the appeals process on behalf of CCPN providers. The Account Specialist II, Insurance Follow-Up &amp; Denials Management will primarily be responsible for performing duties such as; reimbursement analysis; provides the Manager, Insurance Follow-Up &amp; Denials Management with timely financial and volume data related to claims adjudication and payment trend analyses; performs all required patient account adjustments; provides feedback to practice managers regarding effectiveness of diagnostic and procedural coding; monitors active accounts receivable for identification of potential problems; serves as liaison between assigned practice(s) and billing office; communicates effectively with patients, practice managers, physicians and others regarding collection of outstanding claims; maintains proper documentation and edits of work performed; and at all times maintains a professional demeanor to assure that patients are treated in an appropriate and compassionate manner.<br>
<br>
Qualifications:</div><ul><li><div>
High School or equivalent required</div></li><li><div>
Intermediate knowledge of coding and medical terminology with understanding of diversified health insurance plans a plus</div></li><li><div>
At least 3 years experience in a physician billing environment or at least two (2) years in the capacity of PN Account Specialist I, with proficiency in performance of duties evidenced by a minimum rating of meets expectations on the most recent Performance Review</div></li><li><div>
Understanding of managed care contracts, denials and payor methodology</div></li><li><div>
Extensive knowledge of healthcare third party reimbursement, variance and denial records</div></li><li><div>
Effective oral and written communication skills</div></li><li><div>
Medical terminology preferred</div></li><li><div>
Prior experience with Epic Resolute Professional Billing preferred</div></li></ul><div></div><div>
About Cook Children&rsquo;s:</div><div></div><div>
Our not-for-profit organization is comprised of a flagship medical center in Fort Worth, Texas, a new medical center in Prosper, Texas, a physician network, home health company, surgery centers, health plan, health services, and health foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child. Cook Children's is honored to continually receive recognition for our outstanding efforts and outcomes in pediatric health care.</div><div></div><div>
At Cook Children's, we're more than a health care system&ndash;&ndash;we're your friends, neighbors and even family members. And we're parents too, so we can see the world through your eyes. We see what you're going through&ndash;&ndash;and how we can help you and your child get the best care and support possible.</div><div></div><div><br>
Cook Children&rsquo;s is an equal opportunity employer. As such, Cook Children&rsquo;s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.</div></div>

PN Account Specialist II

Metro Vein Centers

<div><div><p>Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people's quality of life by relieving the painful, yet highly treatable symptoms of vein disease&mdash;such as varicose veins and heavy, aching legs.</p>
<p>
With over <b>60 clinics across 7 states</b>, and still growing, we're building the future of vein care&mdash;delivering compassionate, results-driven care in a modern, patient-first environment.</p>
<p>
We proudly maintain a <b>Net Promoter Score (NPS) of 93</b>, the highest patient satisfaction in the industry.</p></div><p>
We're seeking a detail-oriented, results-driven <b>Claims Resolution Specialist</b> to support our billing and revenue cycle operations. In this role, you'll manage assigned claims, follow up on denials, ensure accurate and timely payment, and support the financial health of our clinics through effective payer engagement.</p>
<p>
This is a <b>hybrid position</b> based in <b>West Bloomfield, MI</b>.</p>
<p><b>
What You'll Do</b></p>
<ul>
<li>Investigate and resolve <b>claim denials and underpayments</b> from insurance providers</li>
<li>Research <b>payer-specific policies</b> and submit accurate, timely appeals</li>
<li>Follow up on unpaid or delayed claims using payer portals and internal billing systems</li>
<li>Monitor aging reports and <b>prioritize claims follow-up</b> based on timely filing and payer deadlines</li>
<li>Perform <b>insurance re-verification</b> as needed and reprocess claims to appropriate payers</li>
<li>Accurately post payments and adjustments, including co-payments, deductibles, and coinsurance</li>
<li>Support billing operations, including <b>charge entry, rejection resolution, and documentation reviews</b></li>
<li>Collaborate with internal teams to escalate payer issues and reduce future denials</li>
<li>Maintain meticulous records of follow-ups, appeal status, and payment resolutions in the EMR</li>
</ul><h3 class="jobSectionHeader"><b>What You'll Bring</b></h3>
<ul><li><b>2+ years of experience</b> in medical billing, claims resolution, or insurance follow-up</li>
<li>Solid understanding of <b>insurance guidelines</b>, claim cycles, and payer behavior</li>
<li>Proficiency with CPT, ICD-10, and medical billing workflows</li>
<li>Comfortable using payer portals, EMR systems, and Excel/Google Sheets</li>
<li>Organized, self-motivated, and accountable with strong time management skills</li>
<li>Clear written and verbal communication when working with both payers and internal teams</li>
<li>High school diploma or equivalent required</li>
</ul><h3 class="jobSectionHeader"><b>Preferred Skills</b></h3>
<ul><li>Familiarity with <b>Centricity EMR</b></li>
<li>Previous experience in <b>surgical or specialty practice billing</b></li>
<li>Knowledge of revenue cycle metrics and KPIs</li>
</ul><h3 class="jobSectionHeader"><b>Benefits to Support Your Wellbeing &amp; Lifestyle</b></h3>
<p>
Full-time team members at Metro Vein Centers are eligible for:</p>
<ul>
<li>Medical, Dental, and Vision Insurance</li>
<li>401(k) with Company Match</li>
<li>Paid Time Off (PTO) + Paid Company Holidays</li>
<li>Company-Paid Life Insurance</li>
<li>Short-Term Disability Insurance</li>
<li>Employee Assistance Program (EAP)</li>
<li>Career Growth &amp; Development Opportunities</li>
</ul>
<p><b>Schedule</b></p>
<ul>
<li>Monday - Friday</li>
<li><i>This is a hybrid position based in West Bloomfield, MI.</i></li>
<li>Monday-Friday: 8:30am-5:00pm</li>
</ul>
<p>#LI-hybrid</p><div><p><b>
The Metro Vein Centers Difference</b></p>
<p><b>
Healthy legs. Happier lives.</b><br>
At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well-being. From the first conversation to the final follow-up, every patient interaction reflects our commitment to compassion, expertise, and trust.</p>
<p><b>
A team united by purpose.</b><br>
Our values guide everything we do:</p>
<ul>
<li><b>Patients First, Always</b> &ndash; Every interaction should make our patients feel valued, heard, and cared for.</li>
<li><b>Stronger Together</b> &ndash; Teamwork and collaboration drive our success. We lift each other up to deliver the best for our patients.</li>
<li><b>A Can-Do Spirit</b> &ndash; We meet every challenge with positivity, flexibility, and problem-solving energy.</li>
<li><b>Results That Make a Difference</b> &ndash; We're driven to improve lives through meaningful, measurable outcomes.</li>
<li><b>Commitment to Growth</b> &ndash; We invest in our people, fostering advancement and professional development at every level.</li>
</ul>
<p><b>Metro Vein Centers is an Equal Opportunity Employer.</b><br>
We're committed to creating a workplace where everyone feels seen, heard, and supported. We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. This policy applies to all aspects of employment, including recruitment, hiring, promotion, compensation, benefits, and termination.</p>
<p><b>
Legal &amp; Compliance Notice:</b><br>
Metro Vein Centers complies with all applicable federal, state, and local employment laws, including those related to nondiscrimination, equal opportunity, and pay transparency. Where specific disclosures or postings are required by law, we provide this information as part of our hiring process or upon request.</p>
<p><b>
Your privacy matters.</b><br>
To learn more about how we collect, use, and protect your information, please review our privacy policy here.</p></div></div>

Medical Claims Resolution Specialist

Nobox Idea

<p>We are looking for a highly motivated and detail-oriented <b>AR Executive</b> to join our US Medical Billing team. The ideal candidate will be responsible for managing accounts receivable, insurance follow-ups, denial resolution, and ensuring timely reimbursement from US insurance payers.</p><p><b>Key Responsibilities:</b></p><ul><li>Follow up with US insurance companies regarding unpaid claims</li><li>Analyze and resolve claim denials</li><li>Work on aging reports and payment posting issues</li><li>Maintain accurate documentation of account activities</li><li>Ensure timely collection of outstanding balances</li></ul><p><b>Requirements:</b></p><ul><li>Experience in US Medical Billing (AR / Denials / Insurance Follow-ups)</li><li>Good communication skills in English</li><li>Knowledge of medical billing software and insurance portals</li><li>Ability to work in a fast-paced environment</li></ul><p>Work Location: In person</p>

AR EXECUTIVE

Washington University in St. Louis

<div><h1 class="jobSectionHeader"><b>Scheduled Hours</b></h1>
40<p></p><h1 class="jobSectionHeader"><b>
Position Summary</b></h1>
Performs follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite payments from various payers for physician services.<p></p><h1 class="jobSectionHeader"><b>
Job Description</b></h1><p></p><div><div><div><div><div><div><div><p><b>
Primary Duties &amp; Responsibilities:
</b></p></div></div></div></div></div></div></div><ul><li>Performs insurance follow-up billing and collection duties on various financial classifications to ensure timely and accurate payment of physician charges.</li><li>
Reviews patient accounts to verify the accuracy of information including insurance, eligibility, invoice resolution, correspondence, remittances, requests for additional information, or other appropriate handling.</li><li>
Utilizes Epic, system tools, and payer websites for claim submission, claim status, attachments, eligibility, and authorization/referral inquiry.</li><li>
Consistently meets the Quality Assurance (QA) and meaningful efficiency standards of working invoices/accounts each day and follows best practices for one-touch resolution as established within the department.
</li><li>Interacts with management and staff members to discuss issues.</li><li>
Performs other duties as assigned by the supervisor and/or manager.</li></ul><p></p><p><b>
Working Conditions:</b><br>
Job Location/Working Conditions:</p><ul><li><p>
Normal office environment.</p></li><li><p>
Primarily remote with the exception of coming into the office at least once a month.</p></li></ul><p><br>
Physical Effort:</p><ul><li><p>
Typically sitting at a desk or table</p></li></ul><p><br>
Equipment:</p><ul><li><p>
Office equipment</p></li></ul><p></p>
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.<p></p><h1 class="jobSectionHeader"><b>
Required Qualifications</b></h1><p></p><p><b>
Education:</b></p>
High school diploma or equivalent high school certification or combination of education and/or experience.<p><b><br>
Certifications</b><b>/Professional Licenses</b><b>:</b></p>
No specific certification/professional license is required for this position.<p></p><p><b><br>
Work Experience:</b></p>
Bookkeeping/Accounting And/Or Medical Collection Setting (2 Years)<p><b><br>
Skills:</b></p>
Not Applicable<p><b><br>
Driver's License:</b></p>
A driver's license is not required for this position.<p></p><h1 class="jobSectionHeader"><b>
More About This Job</b></h1><p></p><h1 class="jobSectionHeader"><b>
Preferred Qualifications</b></h1><p></p><p><b>
Education:</b></p>
No additional education unless stated elsewhere in the job posting.<p><b><br>
Certifications</b><b>/Professional Licenses</b><b>:</b></p>
No additional certification/professional licenses unless stated elsewhere in the job posting.<p><b><br>
Work Experience:</b></p>
No additional work experience unless stated elsewhere in the job posting.<p></p><p><b>
Skills:</b></p>
Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability &amp; Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Telephone Communications<p></p><h1 class="jobSectionHeader"><b>
Grade</b></h1>
C06-H<p></p><h1 class="jobSectionHeader"><b>
Salary Range</b></h1>
$17.34 - $25.40 / Hourly<p></p>
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.<p></p><h1 class="jobSectionHeader"><b>
Questions</b></h1><p>
For frequently asked questions about the application process, please refer to our External Applicant FAQ.</p><p></p><h1 class="jobSectionHeader"><b>
Accommodation</b></h1><p>
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.</p><p></p>
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.<p></p><h1 class="jobSectionHeader"><b>
Pre-Employment Screening</b></h1>
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.<p></p><h1 class="jobSectionHeader"><b>
Benefits Statement</b></h1><p>
Personal</p><ul><li><p>
Up to 22 days of vacation, 10 recognized holidays, and sick time.</p></li><li><p>
Competitive health insurance packages with priority appointments and lower copays/coinsurance.</p></li><li><p>
Take advantage of our free Metro transit U-Pass for eligible employees.</p></li><li><p>
WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.</p></li></ul><p></p><p>
Wellness</p><ul><li><p>
Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!</p></li></ul><p></p><p>
Family</p><ul><li><p>
We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We&rsquo;ve got you covered.</p></li><li><p>
WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.</p></li></ul><p></p><p>
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/</p><p></p><h1 class="jobSectionHeader"><b>
EEO Statement</b></h1>
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University&rsquo;s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.</div>

Insurance Billing/Collection Assistant II (Hybrid) - Physician Billing Services

Advocate Aurora Health

<div><b>Major Responsibilities:</b><ul><li>
Develops proficiency to answer customer inbound billing calls in a high-volume call center environment to service and retain customers. Responds to customers questions with the ability to resolve and process most concerns on the initial call.</li><li>
Learns to act using appropriate discretion, to address customer needs, resolve issues, and provide outstanding customer service. Works with appropriate departments to resolve questions and or issues related to billing, coding, and denials. Educates the customer regarding account concerns.</li><li>
Develops skills to access, understand and explain necessary information from the electronic patient billing and medical records system including claims inquiry, account history, and account status for both hospital and physician billing.</li><li>
Becomes skilled at investigating and responding to all phone and/or written inquiries from patients/guarantors, insurance companies, physician offices, and government agencies regarding medical account billing. Makes calls to outside sources for additional information to ensure that all inquiries are resolved. Shares information following HIPAA guidelines.</li><li>
Accurately documents and updates the patient account system with all information received and action taken. Makes changes to patient demographics and insurance information; submits or resubmits claims to the insurance company when appropriate.</li><li>
Keeps abreast of insurance sequencing rules, medical billing guidelines or laws, and changes impacting patient accounts and uses resources to validate correct process and explanation.</li><li>
Requests payment in full and processes payments using the online system. Establishes acceptable payment plans when payment in full cannot be made.</li><li>
Makes appropriate patient account adjustments as necessary. Develops proficiency to respond to complaints and resolves problems using established service recovery guidelines. Handles all escalated calls, attempting to resolve issues before they become escalated complaints. Works with appropriate departments to resolve questions and/or issues related to billing, coding and denials.</li><li>
Gathers and documents information and troubleshoots customer inquiries and issues by recognizing trends and reporting to higher level as needed. Proactively follows up with customers about information as needed to answer inquiries and resolve issues.</li></ul><br>
<b>
Licensure, Registration, and/or Certification Required:</b><ul><li>
None Required.</li></ul><br>
<b>
Education Required:</b><ul><li>
High School Graduate, or
</li><li>Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED).</li></ul><br>
<b>
Experience Required:</b><ul><li>
Typically requires 1 year of experience in medical billing, cash application or insurance follow up, including six months of call center experience.
</li></ul><br>
<b>Knowledge, Skills &amp; Abilities Required:</b><ul><li>
Demonstrated knowledge of the health care, insurance terminology, and medical billing.
</li><li>Ability to interpret an explanation of benefits and understand the system adjudication process and determine how a claim was paid.</li><li>
Ability to work in a high-volume call center environment, using a computer and the telephone the majority of the day.</li><li>
Excellent customer service and follow up skills.
</li><li>Ability to speak English with customers to resolve customer issues, along with research and document the call on a computer.</li><li>
The skill to speak other languages is a plus.</li><li>
Works with a variety of customers and actively listens and responds with empathy to build rapport and understanding.
</li><li>Proficient computer skills (mail, email, and fax) including patient accounting systems.</li><li>
Ability to perform basic math skills.</li><li>
Demonstrated ability to work well independently and as a team.</li><li>
Strong multi-tasking, organizational, and time management skills. Adapts well to change.</li><li>
Ability to handle all escalated calls and resolve issues before they become escalated complaints.</li><li>
Ability to represent Advocate Aurora Health and the company values to patients.</li><li>
Ability to work to balance all aspects of the call center&rsquo;s KPI&rsquo;s.</li></ul><br>
<b>
Physical Requirements and Working Conditions:</b><ul><li>
Exposed to an open call center office environment.</li><li>
Must be able to sit most of the workday.</li><li>
Operates all equipment necessary to perform the job.</li><li>
Open to working remotely from your home if required.</li></ul><br>
<i>
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.</i></div>

Customer Service Trainee

<div><h1 class="jobSectionHeader"><b>Scheduled Hours</b></h1>
40<p></p><h1 class="jobSectionHeader"><b>
Position Summary</b></h1>
Performs follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite payments from various payers for physician services.<p></p><h1 class="jobSectionHeader"><b>
Job Description</b></h1><p></p><div><div><div><div><div><div><div><p><b>
Primary Duties &amp; Responsibilities:
</b></p></div></div></div></div></div></div></div><ul><li>Performs insurance follow-up billing and collection duties on various financial classifications to ensure timely and accurate payment of physician charges.</li><li>
Reviews patient accounts to verify the accuracy of information including insurance, eligibility, invoice resolution, correspondence, remittances, requests for additional information, or other appropriate handling.</li><li>
Utilizes Epic, system tools, and payer websites for claim submission, claim status, attachments, eligibility, and authorization/referral inquiry.</li><li>
Consistently meets the Quality Assurance (QA) and meaningful efficiency standards of working invoices/accounts each day and follows best practices for one-touch resolution as established within the department.
</li><li>Interacts with management and staff members to discuss issues.</li><li>
Performs other duties as assigned by the supervisor and/or manager.</li></ul><p></p><p><b>
Working Conditions:</b><br>
Job Location/Working Conditions:</p><ul><li><p>
Normal office environment.</p></li><li><p>
Primarily remote with the exception of coming into the office at least once a month.</p></li></ul><p><br>
Physical Effort:</p><ul><li><p>
Typically sitting at a desk or table.</p></li></ul><p><br>
Equipment:</p><ul><li><p>
Office equipment.</p></li></ul><p></p>
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.<p></p><h1 class="jobSectionHeader"><b>
Required Qualifications</b></h1><p></p><p><b>
Education:</b></p>
High school diploma or equivalent high school certification or combination of education and/or experience.<p><b><br>
Certifications</b><b>/Professional Licenses</b><b>:</b></p>
No specific certification/professional license is required for this position.<p></p><p><b><br>
Work Experience:</b></p>
Bookkeeping/Accounting And/Or Medical Collection Setting (2 Years)<p><b><br>
Skills:</b></p>
Not Applicable<p><b><br>
Driver's License:</b></p>
A driver's license is not required for this position.<p></p><h1 class="jobSectionHeader"><b>
More About This Job</b></h1>
WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.<p></p><h1 class="jobSectionHeader"><b>
Preferred Qualifications</b></h1><p></p><p><b>
Education:</b></p>
No additional education unless stated elsewhere in the job posting.<p><b><br>
Certifications</b><b>/Professional Licenses</b><b>:</b></p>
No additional certification/professional licenses unless stated elsewhere in the job posting.<p><b><br>
Work Experience:</b></p>
No additional work experience unless stated elsewhere in the job posting.<p></p><p><b>
Skills:</b></p>
Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability &amp; Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Telephone Communications<p></p><h1 class="jobSectionHeader"><b>
Grade</b></h1>
C06-H<p></p><h1 class="jobSectionHeader"><b>
Salary Range</b></h1>
$17.34 - $25.40 / Hourly<p></p>
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.<p></p><h1 class="jobSectionHeader"><b>
Questions</b></h1><p>
For frequently asked questions about the application process, please refer to our External Applicant FAQ.</p><p></p><h1 class="jobSectionHeader"><b>
Accommodation</b></h1><p>
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.</p><p></p>
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.<p></p><h1 class="jobSectionHeader"><b>
Pre-Employment Screening</b></h1>
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.<p></p><h1 class="jobSectionHeader"><b>
Benefits Statement</b></h1><p>
Personal</p><ul><li><p>
Up to 22 days of vacation, 10 recognized holidays, and sick time.</p></li><li><p>
Competitive health insurance packages with priority appointments and lower copays/coinsurance.</p></li><li><p>
Take advantage of our free Metro transit U-Pass for eligible employees.</p></li><li><p>
WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.</p></li></ul><p></p><p>
Wellness</p><ul><li><p>
Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!</p></li></ul><p></p><p>
Family</p><ul><li><p>
We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We&rsquo;ve got you covered.</p></li><li><p>
WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.</p></li></ul><p></p><p>
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/</p><p></p><h1 class="jobSectionHeader"><b>
EEO Statement</b></h1>
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University&rsquo;s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.</div>

Insurance Billing/Collection Assistant II (Hybrid) - Physicians Billing Service

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