AR Follow-up Specialist (BPO)

Qualifications:

Graduate of any 4year college degree
Must have 2+ years in a Healthcare BPO setting
Knowledge of commercial, HMO, Medicare/Medicaid, and other payer requirements.
Working knowledge on the use of insurance payer websites ie: Availity, Optum, Medicare, Evicore portals.
Working knowledge with Practice Management systems, preferably KAREO a plus.
Effective communication abilities with and not limited to team members outside clients and patients.
Proven problem-solving skills. The ability to research and resolve complex insurance denials while obtaining a clear understanding to present actionable solutions.
Proficient knowledge of medical terminology is likely to be encountered in medical claims denials.