Work From Home Jobs (Remote) In Jonesborough @Jobsextraincome ( Insurance Follow-up Specialist )

Hiring Organization: SEES Group

Post Name: Insurance Follow-up Specialist

Qualification: Graduate

Industry: Private

Employment Type: Full Time

Work Hours: 8 Hours

Salary: $20 – $30/Hour

Location: Tennessee, USA

Full Job Description

SEES Group operates multi-uniqueness clinical practices and ambulatory surgical procedure facilities throughout the Southeastern United States and US Territories. Working with community-primarily based totally Optometrists and Physicians, we offer sufferers with the best best clinical and surgical eye care they want near home. Our organization’s shared values encompass integrity, respect, carrier, compassion, and excellence!

SEES Group acknowledges that our personnel are our maximum vital asset. Because of this, we try constantly to inspire our body of workers to stay their healthiest existence via way of means of offering benefits, perks, resources, and applications to help with dealing with each their bodily and intellectual health. We provide get right of entry to to an worker help application for people who may also want intellectual health, legal, or monetary help. Also, we're presently presenting a quarterly “Stress Free Day” to complete time body of workers participants in which personnel can take a paid time off to awareness on their very own well being and intellectual health.

Aside from the ones terrific benefits, we additionally provide clinical, dental, and imaginative and prescient coverage; 7 paid holidays; organization paid existence Insurance; a strong paid-time allotment; voluntary merchandise which includes brief and long time incapacity coverage; and a 401k retirement plan with a beneficiant organization match. We provide certification applications to medical body of workers to help in expert development. Lastly, we provide worker carrier awards to our tenured body of workers participants to apprehend our appreciation for his or her persevered carrier to our organization.

Work From Home Jobs (Remote) In Jonesborough @Jobsextraincome ( Insurance Follow-up Specialist )

POSITION SUMMARY

Insurance Follow-up Specialists are liable for sanatorium and health practitioner billing and collecting. The obligations encompass operating with payers to remedy troubles and facilitate activate fee of claims. Thorough know-how and know-how of coverage billing, claims submission, and payer particular necessities is a must. This role is relatively targeted at the decision of coverage processing mistakes and denials. Payers encompass however aren't restricted to Medicare, Medicaid, Blue Cross, and industrial medical insurance carriers.

ESSENTIAL FUNCTIONS

• Verifies accuracy of billing facts and revises any mistakes. Ensure all claims are transmitted and rejections are labored timely.
• Analyzes and follows-up on pending coverage claims utilising the perfect pending reviews or system.
• Performs ongoing tracking of debts labored to make sure maximization of series greenbacks via way of means of offering suitable comply with-up and documenting moves taken.
• Utilizes all suitable structures to correctly studies debts and whole steps to post facts vital to payers to technique debts.
• Completes comply with-up with sufferers, as vital, to reap extra facts.
• Completes and/or requests modifications to an account, as suitable, primarily based totally at the greenback threshold of the adjustment.
• Troubleshoots and resolves troubles with any of the affected person billing processes.
• Process and comply with up on payer denials as needed.
• Maintain confidentiality of affected person and business enterprise facts.
• Reacts definitely to change.
• Maintains know-how of and follows policies, procedures, Code of Conduct, and all Federal and nation guidelines and policies associated with the role.
• Completes all required compliance training.

Work From Home Jobs (Remote) In Jonesborough @Jobsextraincome ( Insurance Follow-up Specialist )