Wakefield Remote Insurance Follow Up - Revenue Cycle Specialist
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 excellent pay and commission program! We are hiring for experienced billers, insurance follow-up and posting positions. Medicare Part A and B a plus.
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
- 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
- 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
- Vision Insurance
- Life Insurance
- Long Term & Short Term disability 100% paid by employer after 1 year
StudySmarter Expert Advice🤫
We think this is how you could land Wakefield Remote Insurance Follow Up - Revenue Cycle Specialist
✨Dive Into Industry Networking Events
Get your foot in the door by attending insurance industry events and conferences. Not only will you learn about the latest trends, but you'll also meet potential employers and industry peers. Check out local chapters of professional bodies like the Chartered Insurance Institute for valuable meetups.
✨Use LinkedIn to Your Advantage
Don’t underestimate the power of LinkedIn in the insurance world. Engage with industry content, join relevant groups, and connect with professionals at companies you admire (like Work Based At Home). A thoughtful message explaining your interest can really make a difference!
✨Look Out for Graduate Schemes
Many firms in insurance have structured graduate programmes. Keep an eye on application windows and utilise your university's career services for insider tips. These schemes are designed to develop talent and often lead to permanent roles after your initial training.
✨Leverage Your Current Connections
Got friends or family in the industry? Now’s the time to reach out! Personal referrals can give you a head start, so let them know you're on the lookout for full-time opportunities at places like Work Based At Home. Don’t shy away from asking for a coffee chat; you never know what doors it might open!
Some tips for your application 🫡
Highlight Your Analytical Skills:In insurance, we love a candidate who can crunch numbers and analyse data effectively. When crafting your CV, make sure to showcase any relevant coursework or experiences that highlight your analytical abilities, especially if you’ve tackled risk assessment or financial modelling.
Showcase Industry Knowledge:Don’t be shy about your knowledge of the insurance sector! We want to see that you've done your homework on current trends, regulations, and challenges in the industry. Mention any relevant projects or studies you’ve completed that demonstrate your understanding of the field in your cover letter.
Craft a Compelling Cover Letter:Your cover letter should tell us why you’re passionate about insurance. Share any personal experiences or what drew you into this profession. We’re looking for enthusiasm and a clear motivation for why you want to be part of our team at Work Based At Home.
Tailor Your CV for the Role:Don't just send a generic CV! Focus on tailoring it specifically for the insurance role at Work Based At Home. Highlight relevant skills such as risk management, customer service experience, or any certifications you've earned in the industry to make your application stand out.
How to prepare for a job interview at Work Based At Home
✨Know Your Numbers: Insurance Fundamentals
Brush up on your understanding of key insurance concepts, like underwriting principles and risk assessment. Expect the interviewer at Work Based At Home to throw some technical questions your way, so be ready to demonstrate your grasp of these essentials.
✨Showcase Your Analytical Side
In the insurance world, it's all about data. Prepare to discuss any analytical tools or methodologies you've used in past experiences. If you have a portfolio of projects where you've tackled complex data, bring that along to impress the team!
✨Prepare for Behavioural Questions
As a full-timer at Work Based At Home, they'll want to know how you handle real-life scenarios, not just theory. Think about challenges you've faced in teamwork or customer service, and how those experiences can relate to a career in insurance.
✨Know the Company Culture Inside Out
Understanding Work Based At Home's values and workplace culture is essential. Don’t just memorise their mission statement; think about how your personal values align with theirs. This will show your genuine interest in being part of their team long-term.
