Job Details

Are you detail-oriented and analytical with a background in medical billing or hospital revenue cycle operations? Join a leading healthcare organization as a Third Party Follow-Up Specialist, where your skills will directly impact revenue collection and payment accuracy.

Why You’ll Love This Role:

• Be part of a stable, mission-driven healthcare team.

• Gain hands-on training and support in a professional billing environment.

• Work in a critical function ensuring accurate reimbursements from insurance payers.

• Leverage your analytical skills to solve payment discrepancies and improve processes.

What You’ll Do:

1. Insurance Follow-Up & Collections

• Manage follow-up activities on billed accounts to ensure timely payment.

• Contact third-party payers via portals, calls, or correspondence to obtain claim status.

• Analyze EOBs/Remittance to verify correct payments or appeal denials.

• Ensure payments align with contracted rates.

2. Claims & Billing Accuracy

• Submit clean primary and secondary claims through Epic.

• Verify insurance coverage and update accounts accordingly.

• Analyze credit balances and process necessary refunds or voids.

• Maintain HIPAA compliance in all activities.

3. Documentation & Communication

• Accurately document follow-up activities in account notes.

• Communicate clearly with internal teams and patients regarding account inquiries.

• Collaborate with clinical sites for claim resolution and updates.

4. Compliance & Productivity

• Stay current on Medicare, Medicaid, and private insurance billing rules.

• Work independently to process 30–40 accounts daily.

• Participate in self-education and attend payer-focused sessions.

What You Bring:

• High School diploma or GED required; college degree preferred.

• Certified Medical Coder a plus.

• 1–2 years of healthcare billing or follow-up experience (hospital or professional billing strongly preferred).

• Knowledge of third-party payer rules, denials, and reimbursement processes.

• Strong math, analytical, and communication skills.

• Proficiency in Epic and Microsoft Office; ability to type 35+ wpm.