Medical Billing & Insurance Follow-Up Specialist

Penn Credit Corporation - Harrisburg, PA3.4

30+ days agoFull-timeEstimated: $32,000 - $44,000 a year
Penn Billing, a provider of outsourced business office solutions for healthcare organizations, is seeking a Medical Billing & Insurance Follow-Up Specialist to work at its office in Harrisburg. This is an opportunity for a dynamic, proactive, and organized individual to be responsible for accounts receivable billing, follow-up, and claim research for a regional hospital facility. At least three years of medical billing experience with either Medicare, Medicaid, Managed Care, Blue Cross, or Commercial claims is required. Experience handling several of those payer types is preferred. Candidates must be highly self-motivated and possess excellent communication, customer service, and computer skills.

Compensation is commensurate with experience and benefits are very competitive with paid vacation and personal time, 401k plan, healthcare coverage, life insurance, and low-cost onsite food/drink offered. Our office is also conveniently located off the Progress Avenue exit of I-81 in Commerce Park with ample onsite complimentary parking. Candidates must be able to pass a drug screen and background check. If you are interested in being part of a great team and have strong billing and follow-up skills please apply today! Penn Billing is an EEOC employer.

To provide thorough follow-up and/or re-billing of unresolved hospital insurance claims. Specific responsibilities include:

Responsible for performing claim research and follow-up work with insurance companies to resolve accounts which have been billed but remain unresolved.
Reviewing notes on client systems to see what work has already been performed.
Determining next steps by either calling the insurance company or using electronic tools to determine claim status.
If no claim is on file, it will need to be re-billed through the client's systems.
If a claim is rejected, find out why and make a determination if it can be re-billed with proper information, if it should be patient responsibility, or if it is a timely filing issue.
If coding needs to be changed, submit to appropriate group for review.
Work specific payers and accounts as assigned by management.
Responsible for submitting accounts to be written off or changed to patient responsibility.
Responsible for claim denials and determining how to resolve the claim either by correction, re-billing, or if it was rejected authorization issues.
Providing weekly reports on claims worked, re-billed, and submitted for write-off.
Responsible for working from multiple computer systems simultaneously and learning them quickly.

Minimum of 3 years’ experience in a hospital or physician business office or with a 3rd party vendor performing billing and claim follow-up work with direct hospital billing experience being preferred.
Experience with at least one of these payer types is required, with multiple being preferred:
Medicare, Medicaid, Managed Care, Blue Cross, or Commercials.

Educational requirements:
Applicant must possess a high school diploma or GED
In addition, technical schooling in medical billing/coding and/or a college degree in a related field is preferred
Comfortable talking to others over the phone for extended time periods.
Being assertive with insurance companies to resolve issues.
Demonstrate very strong billing and follow-up skills.
Be able to work in an environment that promotes positive customer service practices.
Be able to work independently, multi-task, and follow instructions.
Thorough knowledge of medical terminology EOB’s, DRG’s HCPCS’s, CPT & ICD codes, etc.).
Thorough knowledge of UB04 forms.
Working knowledge of medical billing systems and normal healthcare billing workflows.