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Insurance Billing Specialist

TEKsystems
locationCumming, IA 50061, USA
PublishedPublished: 6/14/2022
Healthcare
Full Time

Job Description

Job Description

Description

100% remote role; must sit in Iowa, the Quad Cities region, or Wisconsin.

The Insurance Billing and Follow Up Specialist II will be responsible for performing all billing and follow-up functions, including the investigation of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that claims are paid in a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of data coming from multiple resources. To evaluate billing and follow-up issues appropriately, Reps will need to have an understanding of the entire Revenue Cycle and be able to interact with Government and Commercial insurances.

Daily Duties:

Resolve billing errors/edits, including accounts with Stop Bills and “DNBs” to ensure all claims are filed in a timely manner

Ensure all claims are accurately transmitted daily and all appropriate documentation is sent when required

Verify eligibility and claims status on unpaid claims

Review payment denials and discrepancies and take appropriate action to correct the accounts/claims

Respond to customer service inquiries

Perform charge corrections when necessary to ensure services previously billed incorrectly are billed out correctly

Submit replacement, cancel and appeal claims to third party payers

Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication

Work accounts in assigned queues in accordance with departmental guidelines

Contact patients for needed information so claims are processed /paid in a timely manner

Work directly with third party payers and internal/external customers toward effective claims resolution

Additional Skills & Qualifications

High School graduate or equivalent

Experience with payer platforms

Billing/follow up experience OR worked for a Clinic using EPIC

Work from home space required

PREFER:

Medical billing experience

EPIC experience

Previous commercial billing experience

Experience Level

Entry Level

Pay and Benefits

The pay range for this position is $19.00 - $22.00/hr.

Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Sep 24, 2025.

h4>About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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