Claims Follow-Up Specialist

Job Description

Job Description

Salary : $18-$21 per hour depending on experience

Claims Follow-Up Specialist

Remote Position (Must live in FL, GA, NC, OH, TN, TX, or VA), Work from Home

Who We Are

iTX Companies (IntelliHARTx, LLC) is a Healthcare Receivables Management service provider. In addition to our offices located in Findlay, Ohio and Kingsport, Tennessee, we also have remote team members in numerous states and are proud to work with several hospital systems across the country. Our Claims Follow-Up Specialists work queues inside our client's systems to resolve unpaid insurance claims, verify problems, correct and submit / resubmit those corrected claims to insurance on behalf of our client. Our training is designed to ensure our Claims Follow-Up Specialists are performing at a high level in a team-based environment to achieve rewarding outcomes. As a result, iTX Companies was recognized in 2023 by Inc. 5000 as one of the most successful and fastest growing Healthcare Receivables Management Organizations in the country.

Why Work for iTX Companies

Competitive Pay Based on Experience

Full-Time 40 hours / week : Monday through Friday work schedule with no late nights or weekends!

PTO and Sick Time : 80 hours given in a lump sum at 90 days with yearly increases based on tenure.

Perfect Attendance Award Program : Earn extra PTO for each month of perfect attendance after 90 days.

Individual Coverage Healthcare Reimbursement Arrangement (ICHRA) : This program gives employees the option to choose their own individual qualified health insurance plan. After they pay the monthly premium, they can qualify for a reimbursement to cover a portion of the premium payment.

401k Plan

Company-Sponsored Life Insurance : A life insurance plan is available after 90 days with supplemental buy-up options.

What Youll Do

Work queues inside client system to resolve unpaid insurance claims.

Verify problems / denials with insurance claims and take necessary action as required.

Correct and submit / resubmit correct claims to insurance carriers on behalf of client.

Research clients systems and payer portals for insurance issues.

Contact third party payers for clients submitted claim status and take necessary actions to resolve claims where appropriate.

Access and review any supplemental paperwork as required to process the claim(s), i.e., explanation of benefits, medical records accident information, etc.

Research and attempt to resolve third-party payer claim denials and / or rejections.

Recognize and research denial trends and socialize information to iTX Management, Teams, and Client Advocates.

Assist Healthcare Financial Navigators in understanding insurance payments and denial and help them get claims reviewed, reconsidered, and reprocessed when appropriate.

What it takes, whenever required, to accomplish the goals and objectives of the company.

Work closely with a team of great coworkers via video for the duration of your shift and replicate an in-officeenvironment using Collaboration Room.

What Well Love About You

High School Diploma Required, college degree preferred; experience considered in lieu of college degree.

Located in FL, GA, NC, OH, TN, TX, or VA

Prior experience in Healthcare Accounts Receivable Required which would include but not be limitedto Government and Commercial Billing. Prior experience in customer service and or insurance verification helpful.

Strong understanding of Medical Billing Guidelines, Coordination of Benefits & Coding

Excellent oral and written communication skills with high attention to detail. Strong proficiency in English is required.

Strong emotional intelligence needed as well as a strong desire to make decisions in a fast-paced environment.

Excellent typing skills with familiarity in MS Office.

Ability to work on the telephone and computer at the same time.

Ability to maintain the highest level of confidentiality.

Ability to work in a multi-tasked, team fostered environment.

Ability to prioritize and organize work.

Ability to travel outside of office to client sites as needed.

Remote Work Technical Requirements

• Minimum Internet Speed Requirements : Minimum requirements assume that the entire bandwidth will be available and used for the Employee working from home. If other users are using bandwidth, it is the Employees responsibility to ensure these minimum requirements are met for their work use.

50 Mbps download speed

Remote Work Physical Space Requirements

Equipment Requirements

To maintain a secure and compliant work environment, all employees ofiTX Companies are required to use only company-issued equipment. Each employee receives a complete desktop setup prior to their first day, which includes : Desktop computer, two monitors, webcam, mouse and keyboard, network cable, surge protector and headset. This ensures employees are prepared to work with the proper tools from day one. All issued equipment is covered by a fully refundable equipment deposit. The deposit is collected through 20 bi-weekly payroll deductions of $50 each. It is refunded after 24 months of employment or upon the return of all equipment in good condition.

Video, Audio and Computer Screen Recording / Monitoring Requirements

As a condition of employment, it is required that all employees follow guidelines for video, audio and computer screen monitoring / recording for the duration of their shifts.

We are always looking for great people to join our team. If you are passionate about customer service, enjoy working with a fantastic team, and are motivated to make a difference in patients lives every day, then apply today with iTX Companies!

www.itxcompanies.com / careers