Senior Insurance Follow Up Specialist

Job Description

The Senior Insurance Follow Up Specialist at University of Toledo Physicians plays a critical role in driving resolution and promoting peak performance while delivering world-class revenue cycle outcomes. This role involves daily interactions with team members, insurance representatives, and other departments, with the goal of quickly resolving outstanding account balances, enhancing the patient experience, and ensuring integrity and compliance.

Responsibilities

• Documents all responses and actions taken to reach claim or account resolution in the practice management system.
• Exhibits strong communication skills and a positive attitude with internal and external customers.
• Follows workflow process to ensure correct registration, coding, and insurance processing of claims.
• Conducts inquiries to determine reasons for unpaid/denied claims, resolves them, and manages claims to meet/exceed productivity standards.
• Travels to practice locations to provide on-site support and participates in regular meetings with practice leadership to promote positive revenue cycle performance outcomes.
• Maintains the confidentiality of all patient records and accounts.
• Actively participates in staff meetings and process improvement planning sessions.
• Understands HIPAA policies and procedures and uses this knowledge to ensure patient information confidentiality.
• Performs other duties as assigned.

Required Qualifications

• 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, medical terminology, and advanced communication and analytical skills.

Preferred Qualifications

• Preferred Skills: Knowledge of CPT and ICD terminology, familiarity with billing software, and EPIC experience.

Working Conditions

Works in an open office environment; area is well ventilated, lighted, and close to equipment and materials required for daily work functioning.

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity or expression, age, disability, military or veteran status, height, weight, familial or marital status, or genetics. Equal Opportunity Employer/Drug-Free Workplace.