Meduit | Driving Revenue Cycle Performance

Insurance

• Research and resolve denied, unpaid, underpaid, or incorrectly processed insurance claims
• Investigate claim rejections and denials by contacting insurance carriers and reviewing payer requirements
• Follow up with Medicare, Medicaid, Blue Cross, and commercial insurance carriers for claim status updates and payment resolution
• Analyze denial codes, remittance advice, payer correspondence, and claim documentation to identify root causes and next steps
• Correct claim errors and facilitate claim resubmission for timely reimbursement
• Prepare and submit appeals, reconsiderations, corrected claims, and supporting documentation
• Manage assigned claim inventory and prioritize accounts to reduce aging accounts receivable
• Contact patients to obtain or verify information needed to resolve billing or insurance issues
• Review and update patient demographics, insurance information, and account details
• Document account activity, payer communications, and claim resolutions accurately and timely
• Communicate with insurance companies, patients, and client representatives regarding outstanding claims and balances
• Identify denial trends and recurring issues and communicate findings to leadership and operational teams
• Meet productivity, quality, and cash collection performance standards
• Maintain compliance with HIPAA regulations, client requirements, and company policies
• Collaborate with Billing, Claims, Collections, and Client Services teams to resolve complex reimbursement issues
• Report to the Insurance Supervisor

Explore Insurance Follow-Up Specialist at Meduit | Driving Revenue Cycle…. Review requirements and application details.

Insurance Follow-Up Specialist

• Research and resolve denied, unpaid, underpaid, or incorrectly processed insurance claims
• Investigate claim rejections and denials by contacting insurance carriers and reviewing payer requirements
• Follow up with Medicare, Medicaid, Blue Cross, and commercial insurance carriers to obtain claim status updates and payment resolution
• Analyze denial codes, remittance advice, payer correspondence, and claim documentation to identify root causes and determine appropriate next steps
• Correct claim errors and facilitate claim resubmission to support timely reimbursement
• Prepare and submit appeals, reconsiderations, corrected claims, and supporting documentation as needed
• Manage assigned claim inventory and prioritize accounts to reduce aging accounts receivable
• Contact patients when necessary to obtain or verify information needed to resolve billing or insurance issues
• Review and update patient demographics, insurance information, and account details when necessary to facilitate claim resolution
• Document all account activity, payer communications, and claim resolutions accurately and timely
• Communicate professionally with insurance companies, patients, and client representatives regarding outstanding claims and balances
• Identify denial trends and recurring issues and communicate findings to leadership and operational teams
• Meet established productivity, quality, and cash collection performance standards
• Maintain compliance with HIPAA regulations, client requirements, and company policies
• Collaborate with Billing, Claims, Collections, and Client Services teams to resolve complex reimbursement issues
• Report to the Insurance Supervisor