A/R Follow-Up Specialist | 4762

Job Description

• Access and navigate payer websites and portals to verify eligibility, authorization, and claim status.
• Update patient demographics and insurance information in appropriate systems.
• Research and resolve unpaid or denied claims, including missing information, authorization, and control numbers (ICN/DCN).
• Review EOBs for adjustments and process corrections to resolve claims.
• Contact insurance payers via phone or written correspondence to secure payment of claims.
• Research and respond to payer requests for additional documentation.
• Verify accuracy of underpayments using contracts and claims data.
• Write appeal letters for technical appeals and denial management.
• Prepare claims for clinical audit processing (authorization, coding, level of care, length of stay denials).
• Maintain confidentiality of patient information in accordance with HIPAA regulations and company policy.