Accounts Receivable Insurance Follow-Up Specialist

$45,760 - $58,240/Yr

Superior Air-Ground Ambulance Service - Elmhurst, IL

Full-time - Entry Level

Elmhurst, IL

Ambulatory Health Care Services

About the position

Superior Air-Ground Ambulance Service, Inc. is seeking an Accounts Receivable Insurance Follow-Up Specialist to join our dedicated team. As the largest independent, locally owned and operated Emergency Medical Service provider in Northern Illinois and Northwest Indiana, Michigan, and Ohio, we pride ourselves on delivering exceptional, compassionate customer service. The primary purpose of the Accounts Receivable team is to pursue reimbursement for services rendered and achieve resolution of accounts receivable. This role is crucial in managing open accounts receivables, including denials and delinquent accounts, by actively engaging with payer organizations and utilizing web-based connectivity. The Accounts Receivable Insurance Follow-Up Specialist will be responsible for performing collection follow-up steps with insurance carriers and/or patients regarding open accounts receivable and delinquent accounts. This position aims to maximize cash collections for our clients. Specific tasks include resolving insurance carrier denials, appealing claims, contacting carriers on open accounts, and responding to insurance carrier correspondence and inquiries. The role also involves research, client contact, and participation in employee training, with potential exposure to multiple practice management systems. This is an in-office position, and the ideal candidate will demonstrate strong office and typing skills, attention to detail, and a positive attitude. The ability to work independently and collaboratively within a team is essential for success in this role.

Responsibilities

• Responsible for resolving denials/appeals within 72 hours of receipt.
• Responsible for resolving unpaid claims that are greater than 60 days from the date of service.
• Reviews previously worked claims a minimum of every 30 days.
• Responsible for documenting daily accounts/claims worked on the Productivity Board.
• Ability to work 64 to 80 accounts daily.

Requirements

• High school diploma or equivalent; college preferred.
• A minimum of 1-2 years of experience in revenue cycle collections required.
• Previous experience in EMS preferred.
• Knowledge of CPT, ICD-9/10, and HCPCS codes.
• Strong understanding of government payers and other commercial/managed care carrier rules and processes in a professional billing environment.
• Attention to detail with the ability to identify/resolve problems and document the outcome.
• Strong written and verbal communication skills.
• Excellent analytical and problem-solving skills.
• Ability to multi-task and recognize trends to effectively work accounts receivable.
• Intermediate skills with Microsoft Office applications: Word, Excel.
• Initiative to learn new tasks and apply acquired knowledge to future duties.
• Flexibility, adaptability, and accountability are necessary for optimum client results.