Job Information
Mobile Medical Response Claims Follow-up Specialist in Saginaw, Michigan
Summary
Objective: The Claims Follow-up Specialist follows-up on Medicare/Medicaid, Blue Cross Blue Shield, Patient Pay and Commercial Payers to effectively and professionally resolve customer and insurance companies' questions and inquiries.
Essential Duties: Know and support the Mission Statement, Policy/Procedures and standards of MMR. Maintain HIPAA compliance.
Medicare/Medicaid follow-up: Complete Medicare over 50 mile requests, process follow up rejections/denials and appeals for Medicare and Medicaid claims. Process Medicare and Medicaid refunds. Follow-up on lacking Medicare Signatures via mail/phone calls. Final person to answer incoming customer service phone calls. Assist incoming calls and provide assistance to patients, payers and others as needed. Process credit card payments. Facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate, establish payment arrangements or seek completion of a charity questionnaire. Contact patients and/or insurance company to obtain the correct billing information. Resubmit accounts when new or corrected information is obtained from the caller or payer. Enter patient demographics as required from information gathered from correspondence or telephone contacts.
Blue Cross Blue Shield (BCBS) follow-up: Complete BCBS/Patient Care Report (PCR) information requests. Process BCBS rejections/denials. Process BCBS refunds. Third person to answer incoming customer service phone calls. Assists incoming calls and provide assistance to patients, payers and others as needed. Process credit card payments. Assist incoming calls and provide assistance to patients, payers and others as needed. Facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate, establish payment arrangements or seek completion of a charity questionnaire. Contact patients and/or insurance company to obtain the correct billing information. Resubmit accounts when new or corrected information is obtained from the caller or payer. Enter patient demographics as required from information gathered from correspondence or telephone contacts.
Commercial follow-up: Secondary Call Taker. Assists incoming calls and provide assistance to patients, payers and others as needed. Process mail returns. Follow-up with commercial payers including auto. Assists Patient Pay follow up as necessary. Process commercial insurance refunds. Process credit card payments Facilitate payment for services rendered by soliciting payment in full from incoming calls and, when appropriate,