Job Description
Job Description
Are you detail-oriented and analytical with a background in medical billing or hospital revenue cycle operations? Join a leading healthcare organization as a Third Party Follow-Up Specialist, where your skills will directly impact revenue collection and payment accuracy.
Why You’ll Love This Role:
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Be part of a stable, mission-driven healthcare team.
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Gain hands-on training and support in a professional billing environment.
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Work in a critical function ensuring accurate reimbursements from insurance payers.
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Leverage your analytical skills to solve payment discrepancies and improve processes.
What You’ll Do:
1. Insurance Follow-Up & Collections
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Manage follow-up activities on billed accounts to ensure timely payment.
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Contact third-party payers via portals, calls, or correspondence to obtain claim status.
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Analyze EOBs/Remittance to verify correct payments or appeal denials.
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Ensure payments align with contracted rates.
2. Claims & Billing Accuracy
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Submit clean primary and secondary claims through Epic.
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Verify insurance coverage and update accounts accordingly.
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Analyze credit balances and process necessary refunds or voids.
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Maintain HIPAA compliance in all activities.
3. Documentation & Communication
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Accurately document follow-up activities in account notes.
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Communicate clearly with internal teams and patients regarding account inquiries.
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Collaborate with clinical sites for claim resolution and updates.
4. Compliance & Productivity
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Stay current on Medicare, Medicaid, and private insurance billing rules.
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Work independently to process 30–40 accounts daily.
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Participate in self-education and attend payer-focused sessions.
What You Bring:
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High School diploma or GED required; college degree preferred.
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Certified Medical Coder a plus.
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1–2 years of healthcare billing or follow-up experience (hospital or professional billing strongly preferred).
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Knowledge of third-party payer rules, denials, and reimbursement processes.
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Strong math, analytical, and communication skills.
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Proficiency in Epic and Microsoft Office; ability to type 35+ wpm.
Company DescriptionThe Bachrach Group LTD. (TBG) has been building better workforces with extraordinary talent based on specific functional experience, one position at a time, for nearly 50 years. Our commitment to sourcing top-notch talent has made us national leaders in both staffing and executive search.
Company Description
The Bachrach Group LTD. (TBG) has been building better workforces with extraordinary talent based on specific functional experience, one position at a time, for nearly 50 years. Our commitment to sourcing top-notch talent has made us national leaders in both staffing and executive search.