What are the responsibilities and job description for the Insurance Follow-Up Specialist position at Hive?
Do you thrive in an atmosphere of clear expectations? Would you like to use your talents to help an organization grow? Hive is looking for driven professionals to grow with our fast-paced revenue management company as we provide solutions that improve our clients’ billing operations. Hive believes in empowering our employees with the resources they need to succeed so together we can celebrate the rewards of high performance.
Open Role: Insurance Follow-Up Specialist
As a member of Hive’s Innovation Team, you will determine the reason for claim denials with a high degree of accuracy. The Follow-up Specialist acts as a liaison between provider, patient, and payer and facilitates the accuracy of claims. You should be comfortable working with little supervision to meet tight deadlines.
Key Job Functions:
- Monitor accounts receivable by ensuring payment before claims reach the timely filing limit.
- Maximize collection of payments before the claim ages past 60 days.
- Identify reason for rejections and know the proper action for correction.
- Collaborate with other departments to ensure billing accuracy.
- Support monthly, quarterly, and yearly cleanups.
- Effectively use insurance portals to resolve claim issues.
- Navigate through various hospital systems to verify patient information, obtain referrals and pre-authorizations.
- Attend monthly staff meetings, weekly team meetings, and continuing educational sessions.
- Identify and bill secondary or tertiary insurances.
- Work as a team member in lowering overall billing cycle times & increase collections.
- Guarantee accuracy of daily claims submitted to clearinghouse.
Requirements:
- 2+ years of medical billing experience
- Proficient knowledge of MS Office: Excel and Word
- Strong attention to detail & follow-through skills
- Ability to multi-task and see daily process through to completion
- Analytical and problem-solving skills within a team setting
- Experience with filing claim appeals to ensure maximum payment by fee schedule
- Knowledge of medical terminology, adjustment & remark codes, as well as what they indicate
- Adaptability to various computer and hospital systems
- Responsible use of confidential information (HIPAA compliance)
- Competent use of 10 key & keyboard shortcuts with an above average WPM
- Perform to Hive’s standards, policies, and procedures
Position Location: Atlanta, GA (Buckhead)
About Hive: Our process, people, and technology combine to eliminate errors, maximize revenue, and empower medical providers to make informed decisions. We are the business partners that manage the financial health of each practice we serve. Our objective is assuring that providers capture all earned revenue, while the focus stays on their priority, treating patients.
