Insurance Follow Up Rep

Job Summary and Responsibilities

As our Insurance Follow Up Rep, you will be a crucial asset in our revenue cycle management team, responsible for corresponding with commercial and government health insurance payers. Your primary function will be to research and resolve outstanding insurance balances and non-coding denials, ensuring correct reimbursement for services rendered. This role directly contributes to the financial health of our ministry by safeguarding revenue integrity and maintaining compliance with established guidelines.

You will engage in comprehensive follow-up activities, including phone calls, online processing, fax, and written correspondence to address unpaid or underpaid claims. You'll expertly analyze Explanation of Benefits (EOBs) and remittance advices, effectively communicating with payers to explain balances and resubmit claims with necessary information. This role also involves identifying potential areas of concern or trends, proactively rectifying issues, and escalating complex cases to management, ensuring meticulous documentation of all actions in the billing system.

Job Requirements

• A minimum of two years of revenue cycle or related work experience, demonstrating a strong understanding of medical insurance, payer contracts, CPT, and ICD codes.
• Your ability to troubleshoot and adapt to diverse situations, maintain confidentiality, and exhibit excellent customer service skills, including professional telephone interactions, is paramount.
• We are seeking a detail-oriented, analytical thinker who can effectively prioritize tasks and thrive in a fast-paced environment.