Insurance Follow-up Specialist - Tempe

As an Insurance Follow-up Specialist at Mindful Therapy Group, your primary responsibilities will include reviewing rejected claims, posting insurance payments, and resolving outstanding insurance balances. You'll be making calls to insurance companies to handle denials, communicating with healthcare providers about their outstanding balances, and utilizing payer portals to ensure smooth claims processes. Additionally, you'll research and re-submit claims that cannot be processed electronically, ensuring that all issues with electronically rejected claims are resolved efficiently.

To apply for the Insurance Follow-up Specialist position at Mindful Therapy Group, you will need at least one year of experience in resolving medical insurance accounts receivable. Familiarity with navigating commercial insurances such as Blue Cross/Blue Shield, Aetna, and Cigna is essential. Experience with EHR systems, Microsoft Office (particularly Excel and Outlook), and posting medical insurance payments are all part of the necessary qualifications. Ideally, candidates with behavioral health billing experience or familiarity with AdvancedMD will stand out.

As an Insurance Follow-up Specialist at Mindful Therapy Group, you'll utilize various tools including payer portals for resolving insurance issues, electronic health record (EHR) systems for managing claims and payments, and Microsoft Office Suite for data tracking and communication. Familiarity with clearinghouse data will also be beneficial, especially when handling rejected claims.

At Mindful Therapy Group, the salary range for the Insurance Follow-up Specialist position is between $20 to $25 per hour, depending on experience. Along with competitive pay, we offer a comprehensive benefits package, including health, dental, and vision insurance, paid time off, and professional development opportunities.

At Mindful Therapy Group, you'll find a collaborative and energetic work environment where everyone is valued. The culture emphasizes teamwork, transparency, and innovation, making it a supportive place for personal and professional growth. As an Insurance Follow-up Specialist, you'll work closely with a dynamic team that encourages new ideas and creative process improvements.

When answering this question, you should focus on specific instances where you successfully resolved claims. Highlight your familiarity with payer portals, communication with insurance companies, and any strategies you employed to ensure swift resolution. Provide examples that demonstrate your problem-solving skills and attention to detail, as these are crucial in this role.

Express your understanding of the complexities involved in the insurance process, such as navigating various insurance policies and dealing with denials. You can discuss how you overcome challenges, whether it’s through diligent research, effective communication, or collaboration with colleagues, showcasing your proactive approach.

Explain your methods for ensuring accuracy, such as double-checking numbers, utilizing checklists, or maintaining organized records. Emphasize your attention to detail and any software tools you use that contribute to reducing errors in billing. This response shows that you take quality seriously in your work.

Discuss your specific experience with EHR systems, including which systems you have used and how you used them effectively for posting payments and managing claims. Highlight any advanced functionalities you worked with and how you helped the team through your proficiency with these systems.

Share a specific example where you identified a process that could be improved, and explain the steps you took to enhance it. Be sure to mention the outcome and any positive feedback you received from colleagues or supervisors, demonstrating your initiative and value as a team member.

Detail your systematic approach for handling denied claims, such as reviewing the denial reasons, contacting the payer for clarification, and collaborating with providers to gather necessary information. This illustrates your problem-solving skills and your commitment to efficiently resolving issues.

Describe your method of prioritizing tasks, whether it’s based on deadlines, the complexity of the tasks, or the potential impact on revenue. You might mention using task management tools or collaborative methods that involve your team, ensuring productivity and a collaborative approach.

Express your admiration for Mindful Therapy Group’s mission to support mental health providers and how this aligns with your professional goals. You can mention specific aspects of the company culture you appreciate, such as teamwork or innovation, that resonate with you and inspire you to be part of their team.

Mention the software programs you have worked with that are relevant to the Insurance Follow-up Specialist role, such as EHR systems like AdvancedMD, and Microsoft Office. Discuss how your familiarity with these programs will make your transition into this role smoother and more effective.

Share your strategies for remaining calm and effectively communicating during stressful situations. Discuss the importance of empathy, active listening, and focusing on finding solutions to diffuse escalating situations. This approach shows your capacity for emotional intelligence and problem-solving under pressure.