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Medical Insurance Follow Up Coordinator

Work from home Full-time role Hiring

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking a highly motivated Medical Insurance Follow Up Coordinator to join our Accounts Receivable Resolution team. This job can be performed 100% remotely and out of state candidates will be considered. The Medical Insurance Follow Up Coordinator will:

  • Follow up on unpaid or rejected insurance claims for assigned carriers and will work with insurance companies, physicians, and/or staff to resolve account issues.
  • Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service.
  • Pursue reimbursement from carriers by placing phone calls and recording all contact in an electronic tracking system to ensure progress is made on outstanding accounts.
  • Review the Explanation of Benefits (EOBs) received from assigned carriers and take appropriate action according to company guidelines.
  • Collect necessary information and prepare appeals to carriers when not in agreement with claim denials.
  • Advise the Team Lead of any trends regarding insurance denials in an effort to identify problems with particular payers.
  • Follow HIPAA guidelines in handling all patient information.
  • Maintain an understanding of the hierarchy of payers and successfully navigate within the medical claim billing and EMR software.
  • Verify patient benefit eligibility/coverage and research ICD-10 diagnosis and CPT treatment codes as needed.
  • Complete required reports and other projects as necessary utilizing Microsoft Excel.

Requires a high school diploma and a minimum of 1-2 years hands-on experience in a fast-paced medical billing environment. Must have previous experience in a healthcare setting. Familiarity with CPT and ICD-10 is also highly preferred. Strong communication skills and attention to detail are necessary. Must be able to handle a very high volume of work with speed and accuracy. All applications MUST be submitted via our website. In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. CU Medicine is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing non-discrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities. CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. Additionally, drug and health screenings may be required for some positions. The listed pay range (or hiring rate) represents CU Medicine’s good faith and reasonable estimate of the range of possible compensation at the time of posting and is based on evaluation of competitive market data. A variety of factors, including but not limited to, internal equity, experience, and education will be considered when determining the final offer. CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation beyond the number on your paycheck. Find information about our benefits here CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations. CU Medicine will post all jobs for a minimum of 7 days or until 250+ applicants have been received (whichever comes first). Apply tot his job Apply To this Job

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