Claims Follow Up

Job Description

Job Description

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Job description

We are seeking a patient focused individual to be the  Insurance Denials / Claims Follow Up Specialist  at our Edina, MN location.

If you have a passion for providing exceptional patient care, are personable, collaborative, attuned to accuracy and fine detail, and would like to join a nationally known and high performing team, we would like to talk to you.

Duties and Responsibilities :

• Accurately and efficiently reviews denied claim information using the payer's explanation of benefits, website, and by making outbound phone calls to the payer's provider relations department for a specific denial type or payer.
• Reviews and obtains appropriate information or documentation from claim re-submission for all denied services, per insurance guidelines and requirements.
• Communicates with patients, insurance carriers, co-workers, and referral sources in a timely, effective manner to expedite the billing and collection of accounts receivable.
• Documents all communications with coworkers, patients, and payer sources in the billing system.
• Contributes to the steady reduction of the days-sales-outstanding (DSO), increases monthly gross collections and increases percentage of collections
• Collaborates with supervisor on prioritization of work to enhance bottom line results and achievement of the most important objectives.
• Contributes to a team environment.
• Makes and organizes notes to track workflow and identify trends to communicate to departmental leaders.
• Meets or exceeds RCM quality assurance standards.
• Ensures timely follow-up and completion of all daily tasks and responsibilities.

Requirements :

We offer excellent compensation and benefits, to include :

About Retina Consultants of Minnesota (RCM) :

RCM has 9 Minnesota locations - St. Louis Park, Edina, Edina Specialty, Woodbury, Blaine, Duluth, Maplewood, Anoka and Mankato.

Everything we do…. every decision we make…takes our Guiding Principles into consideration. Our guiding principles are :