TAL Healthcare

Overview Our client, a rapidly expanding Accounts Receivables management firm dedicated to streamlining revenue cycle processes, is hiring a dedicated A/R Medical Biller/Follow-up Specialist. As an essential member of the billing team, the A/R Follow-Up Medical Biller is responsible for proactively managing insurance claim follow-up activities to ensure timely and accurate reimbursement. This role involves engaging directly with insurance carriers, tracking claim statuses, troubleshooting delays, and maintaining detailed documentation to support efficient collections. Responsibilities Log onto insurance carrier websites to update claim information and monitor statuses. Contact insurance carriers via phone to obtain claim status updates. Take comprehensive notes during calls and document interactions accurately within the company’s system. Identify issues halting the claim process, such as incomplete information or errors. Take corrective actions or escalate issues to ensure...

Job Description Job Description §  Determine initial eligibility and benefits for applicant ·         Determine if any pre-authorization or pre-certification is required under their benefit plan for the SUD related services ·         Enter authorization tracking received from Chief Clinical & Health Officer in Insync. ·         For insured patients, Billing Specialist will perform a pre-service eligibility & benefits review including a determination of pre-authorization needs and/or admission notification requirements as applicable prior their 1st appointment. o    Will prepare a Financial Agreement for the patient and distribute the agreement to the front desk staff for signature at check-in for their 1st appt. o    Will notify the Chief Clinical & Health Officer of any required pre-auth or admission notice prior to the 1st appointment date and will facilitate informing and assisting the clinician with the pre-auth or admit notice process. ·         Meet in...