Insurance Follow-Up Rep

Qualifications

• High school diploma/GED or equivalent working knowledge
• Minimum two to three years of experience in medical billing
• Communicate effectively with physicians, patients, and the public
• Establish good working relationships with both internal and external customers
• Knowledge of the physician billing processes, ICD-10, and CPT coding
• Knowledge of computer systems
• Experience with GE patient management system preferred

Essential Functions

• Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
• Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
• Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
• Assumes full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.

Benefits

• Competitive Health & Welfare Benefits
• $43 monthly stipend to use toward ancillary benefits
• HSA with qualifying HDHP plans with company match
• 401k plan after 6 months of service with company match (Part-time employees included)
• Employee Assistance Program available 24/7
• Employee Appreciation Days
• Employee Wellness Events