Claims Follow-Up Specialist
: Job Details :

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 You'll 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 client's systems and payer portals for insurance issues. • Contact third party payers for client's 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-office environment using Collaboration Room™. What We'll 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 limited to 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 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 Employee's responsibility to ensure these minimum requirements are met for their work use.
  • 50 Mbps download speed
  • 10 Mbps upload speed
  • Tested at

• RTT (round trip time): 100ms or less to AWS Workspaces US East (N. Virginia). Tested at:

• Employees must use the router or modem-router combination provided by their Internet Service Provider. The use of any third-party or personal routers is prohibited.

• Employees who are issued a Desktop computer must be able to hardline into their home router as Wi-Fi connections are not enabled for desktop users.

• The Internet Service Provider (ISP) must be through Cable/Coax or Fiber connections. Satellite or wireless via cell phone providers (I.e. Starlink, HughesNet, or T-Mobile) are not permitted.

• The use of any personal or third-party Virtual Private Network (VPN) software or hardware is not allowed while working.

• Employees must be willing to install necessary authenticator applications for multi-factor authentication on the Employees' smartphone to include Microsoft Authenticator App, Imprivata ID App any others that may be required for client access.

Remote Work Physical Space Requirements

• Employees may only work at a primary home residence listed with Human Resources.

• Employees working remotely are required to maintain a quiet, secure workspace that is free from distractions. Only the employee should be in their workspace during work hours. This means restricting access to children, family members, and pets. Additionally, others within the household should not be able to hear conversations going on between the employee and clients or patients.

• Employees must maintain a smoke-free workspace to protect the integrity of the company issued equipment.

• No PHI or HIPAA data may be printed or written down in home locations.

• Company-provided computers and equipment may not be used by anyone other than the employee and will need to be secured in a way where others do not have access to the equipment, preferably in a locked office.

Equipment Requirements • To maintain a secure and compliant work environment, all employees of iTX 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