Accounts Receivable Follow-Up
Altru Health

Grand Forks, North Dakota
$17.07 - $25.60 per hour


Location:
Altru Patient Services | 3065 Demers

3065 Demers AveGrand Forks, ND 58201

Pay Range: $17.07 - $25.60

Summary:
The Accounts Receivable Follow Up Specialist assists patients with inquiries for the clinic and hospital billing system and reviews and submits insurance claims. The specialist monitors insurance EOB's and denials, ensuring proper payment is made. This position tracks pending eligibilities and unpaid claims, and works credit balances and payment work queues.

Essential Job Functions:

  • Reviews and monitors insurance EOBs and denials to ensure proper payment.
  • Edits, prepares, and submits insurance claims to the appropriate party.
  • Assists patients with billing inquiries via written communication, telephone, or in person.
  • Tracks pending eligibility and unpaid claims and manages credit balances and underpayment work queues.
  • Pursues reimbursement from carriers through phone calls and documents contacts in an electronic tracking system.
  • Coordinates third-party collections and works towards reducing outstanding balances.
  • Conducts insurance follow-up on all final billed claims.
  • Manages claims in assigned worklists to meet or exceed productivity standards.
  • Ensures timely submission of claims to the responsible party within filing limit guidelines.
  • Communicates with insurance payors by telephone or online regarding non-payment.
  • Reviews and edits rejections from electronic billing submissions, correct, and resubmit claims.
  • Verifies the accuracy of patient insurance and demographic information.
  • Performs other duties as assigned or needed to meet the needs of the department/organization.

Education:

• Required: Associates - Business Administration/Management- OR -Associates - Related Field

Work Experience:

• Required: A minimum of 2 years Related Experience

Physical Demands :

• Sit:
• Stand:
• Walk:
• Stoop/Bend:
• Reach:
• Crawl:
• Squat/Crouch/Kneel:
• Twist:
• Handle/Finger/Feel:
• See:
• Hear:

Weight Demands:

• Lift -Floor to Waist Level:
• Carry:
• Push/Pull:
• Slide/Transfer:

Working Conditions:

• Indoor:
• Outdoor:
• Extreme Temperature:

Driving Requirement Definitions:
  • Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
  • Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
  • Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
  • Infrequent Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position:
Infrequent Driver

Reference ID: R4976



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