Insurance Follow Up - Revenue Cycle Specialist/Biller (REMOTE)

Wakefield & Associates Remote
insurance revenue revenue cycle cycle remote insurance procedures billing healthcare revenue revenue cycle cycle team
March 16, 2023
Wakefield & Associates
Atlanta, Georgia

We are a growing nationwide healthcare solutions company that is looking for dynamic and experienced individuals to join our revenue cycle team! We offer work from home (remote) positions with a flexible schedule and commission program. We are hiring for experienced billers, insurance follow-up and posting positions. Medicare Part A and B a plus.

General Summary of Duties

The Insurance Follow-Up Specialist/Biller assists the unit in resolving consumer account balances pending with a third-party payer and working with consumers on behalf of our client as an extended business partner. This position is fully remote - work from home.

Duties of Job
  • Processes denials from insurance companies as appropriate according to coding and specific insurance policies and procedures
  • Processes aging reports according to established client business office guidelines
  • Remains current with assigned insurance company publications and is knowledgeable regarding policies, procedures and coding guidelines for insurance company/network for which the representative is responsible
  • Research and handle insurance credit balances according to company and insurance procedures
  • Work daily correspondence from patients and insurance companies and handles inquiries appropriately and in a timely manner
  • This position could be required to communicate directly with the provider/client on status updates and on information necessary for processing a completed account for payment resolution
  • Successfully assist in leading team to meet defined goals and contractual obligations for each client
  • Follow-up on accounts by contacting third-party payers via website/telephone/mail for payment status, according to schedule of disposition/payer to be worked on given days
  • Researches, identifies, and rectifies any special circumstances affecting resolution of consumer account
  • Gather information regarding other pending claims on account
  • Contact third party payer to verify benefits and eligibility dates
  • Update consumers account in system with any action taken or additional information attained
  • Adheres to all established company policies and departmental procedures. Remains current on Federal and State regulations and statues that influence collections of receivables
  • Performs other duties as assigned by managing supervisor
Job Requirements
  • 2-4 years' experience in a medical environment with emphasis on collections, follow-up, and/or billing for third party
  • Cerner knowledge and experience a plus
  • Medicare/DDE experience is a plus
  • Working knowledge of Healthcare Revenue Cycle Operations. Experience in hospital billing is preferred
  • Working knowledge of all appropriate billing forms, including 1500 and UB04
  • Ability to identify trends within claim denials in an effort to quickly resolve multiple claim issues
  • Ability to take and follow direction
  • Excellent communication skills
  • Computer literate with a knowledge of, or ability to learn about, collection procedures and governing laws applicable to position
  • Ability to learn new software as necessary


  • Major Medical Insurance
  • Flexible Spending Account
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Long Term & Short Term disability 100% paid by employer after 1 year
  • Voluntary Term Life
  • 401(k) Savings Plan
  • UNUM supplemental Insurance
  • Paid Holidays
  • Paid Time Off

Job Posted by ApplicantPro

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