Senior Insurance Follow Up Specialist

Job Description

The University of Toledo Physicians is seeking a Senior Insurance Follow Up Specialist to join our team. The ideal candidate will drive resolution and promote peak performance while delivering world-class revenue cycle outcomes, as well as serving as a subject matter expert in insurance follow-up. The position involves interacting daily with team members, insurance representatives, and other departments to resolve outstanding account balances and enhance the patient experience.

Responsibilities

• Document all responses and actions taken to reach claim or account resolution in the practice management system.
• Exhibit strong communication skills and a positive attitude with internal and external customers.
• Follow workflow processes to ensure correct registration, coding, payment/adjustment posting, and insurance processing of claims.
• Conduct verbal and written inquiries to determine the reasons for unpaid/denied claims to reach resolution.
• Successfully manage claims in assigned worklists to meet/exceed productivity standards.
• Participate as a team member by performing additional assignments not directly related to the job description when workload requires and as directed by management.
• Recognize and research problematic trends regarding non-payment to implement preventive measures to increase cash collections.
• Travel to practice locations to provide on-site support and participate in regular meetings with practice leadership.
• Actively participate in staff meetings and process improvement planning sessions.
• Maintain the confidentiality of all patient records and accounts.
• Understand HIPAA policies and procedures for maintaining the confidentiality of protected health information (PHI) in compliance with HIPAA regulations.
• Perform other duties as assigned.

Requirements

• Education: High School diploma or equivalent
• Experience: 2+ years in resolving insurance denials and/or revenue cycle
• Skills: A basic understanding of insurance requirements and regulations, contract benefits, credit and collection procedures, financial assistance programs, and familiarity with medical terminology.
• Advanced reading, writing, and oral communication skills as well as the ability to perform mathematical calculations.