Submit third-party payer primary, secondary, tertiary, and corrected claims using electronic billing software.
Reconcile confirmation reports after electronic submission from all third-party payers, make needed corrections, and revalidate claims electronically.
Analyze payer rejections and denials and take appropriate action.
Perform aggressive follow-up and collections with third-party payers.
Verify payments through managed care payer software for accuracy and pursue collections on underpayments.
Negotiate reimbursement rates with non-contracted third-party payers and case managers.
Stay current on rules and regulations affecting billing, reimbursement, and claims submission.
Process correspondence received from third-party payers and patients.
Perform other related responsibilities as required or requested.
Demonstrate service excellence.

Insurance Follow-up Specialist