
Claim Follow Up Specialist
Are you a detail-oriented individual with a passion for providing exceptional customer service? Do you thrive in a fast-paced environment and enjoy solving problems? If so, we have an exciting opportunity for you to join our team as a Claim Follow Up Specialist at Atrium Health.As a Claim Follow Up Specialist, you will play a crucial role in ensuring timely and accurate resolution of insurance claims. Your exceptional communication and organizational skills will be utilized to follow up on outstanding claims, identify and resolve issues, and escalate complex cases to the appropriate departments.To excel in this role, you must have a high school diploma or equivalent, at least two years of experience in healthcare insurance follow-up or related field, and a strong understanding of medical terminology and insurance processes. In addition, you must have the ability to work independently and as part of a team, prioritize tasks, and meet deadlines.If you are looking for a challenging and rewarding career in the healthcare industry, we invite you to apply for the Claim Follow Up Specialist position at Atrium Health. Join our dynamic team and make a positive impact on the lives of our patients and their families.
- Follow up on outstanding insurance claims to ensure timely and accurate resolution.
- Communicate with insurance companies, patients, and other relevant parties to obtain necessary information and resolve issues.
- Identify and escalate complex cases to the appropriate departments for resolution.
- Utilize strong organizational skills to manage a high volume of claims and prioritize tasks based on urgency.
- Maintain accurate and detailed records of all claim follow-up activities.
- Utilize strong knowledge of medical terminology and insurance processes to accurately review and analyze claims.
- Collaborate with team members to identify trends and recurring issues, and develop solutions to improve claims processing.
- Provide exceptional customer service by promptly responding to inquiries and concerns from patients and insurance companies.
- Meet deadlines and performance metrics set by the company.
- Continuously update and improve knowledge of insurance regulations and processes.
- Work independently and as part of a team to ensure efficient and effective claims processing.
- Adhere to all company policies and procedures.
- Maintain confidentiality of patient and company information.
- Participate in training and development opportunities to enhance job performance.
- Contribute to a positive and collaborative work environment.
Knowledge Of Insurance Claim Process: A Qualified Claim Follow Up Specialist Should Have A Thorough Understanding Of The Insurance Claim Process, Including Knowledge Of Insurance Plans, Coding Requirements, And Billing Regulations.
Experience With Medical Billing Software: Candidates Should Have Experience Using Medical Billing Software, Such As Epic Or Meditech, To Track And Manage Insurance Claims.
Attention To Detail: This Role Requires A High Level Of Attention To Detail In Reviewing And Analyzing Insurance Claims. The Ability To Identify Errors And Discrepancies Is Crucial For Ensuring Timely And Accurate Claim Processing.
Strong Communication Skills: As A Claim Follow Up Specialist, Effective Communication With Insurance Companies, Healthcare Providers, And Patients Is Essential. Candidates Should Possess Strong Verbal And Written Communication Skills To Effectively Advocate For Claim Resolution.
Problem-Solving Skills: The Ability To Think Critically And Problem-Solve Is Crucial For This Role. Claim Follow Up Specialists Often Encounter Challenges In Navigating Complex Insurance Claims, And They Must Be Able To Devise Creative Solutions To Resolve Issues And Ensure Timely Payment.
Communication Skills
Data Entry
Time Management
Multitasking
Attention to detail
customer service
Claims Processing
Problem-Solving
Medical coding
Insurance Knowledge
Billing Procedures
Communication
Conflict Resolution
Leadership
Problem Solving
Time management
creativity
Critical thinking
Teamwork
Adaptability
Empathy
According to JobzMall, the average salary range for a Claim Follow Up Specialist in Winston-Salem, NC, USA is $30,000-$50,000 per year. This may vary depending on the specific company, level of experience, and other factors such as bonuses and benefits.
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Atrium Health, formerly Carolinas HealthCare System, is a not for profit hospital network which operates hospitals, freestanding emergency departments, urgent care centers, and medical practices in the American states of North Carolina, South Carolina and Georgia.

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