Insurance Follow-Up Representative II - Kelsey Seybold Clinic Hybrid - Pearland TX

About the role

The Insurance Follow-Up Representative is responsible for physician billing and collecting of third-party account receivables. Duties include researching accounts, re-filing or appealing claims, submitting additional medical documentation, tracking account status, initiating contacts, negotiating resolutions, receiving and resolving inquiries, and processing payments and payment plans.

Responsibilities

• Research accounts and re-file or appeal claims
• Submit additional medical documentation
• Monitor and analyze assigned unresolved third-party accounts
• Initiate contacts and negotiate appropriate resolution (internal and external)
• Receive and resolve inquiries and correspondence from third parties and patients
• Analyze, audit, problem solve and reconcile accounts
• Communicate with external contacts and patients regarding patient financial liability, non-coverage, payment processes, and Explanation of Benefits
• Provide exceptional customer service to ensure a positive service experience

Requirements

• High School diploma or GED
• 3+ years of current experience in a health care billing and collection environment or relevant health care setting using an accounting/health care computer system or 2+ years of related experience with preferred education
• Experience in interpreting Explanation of Benefits (EOB’s), physician billing statements
• Basic PC and Internet literacy
• Medical Terminology, CPT & ICD coding application knowledge
• Working knowledge of major third-party payers and their websites
• Proven good analytical and mathematical ability
• Proven excellent interpersonal communications skills and ability to communicate effectively both orally and in writing with patients, physicians, management, and third-party representatives
• Demonstrated ability to handle a variety of tasks with speed, attention to detail and accuracy

Qualifications

• High School diploma or GED from an accredited program
• 3+ years current experience in a health care billing and collection environment or relevant health care setting using an accounting/health care computer system or 2+ years of related experience with preferred education
• Understanding of a diversity of insurance plans
• Epic Professional Billing knowledge
• Demonstrated ability to access and retrieve information from the EHR

Skills

• Knowledge of medical terminology and coding
• Proficiency in medical software and the EHR
• Strong communication and interpersonal skills
• Ability to analyze, audit, and problem-solve
• Attention to detail and accuracy

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

Pay

Hourly pay for this role will range from $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Schedule

Hybrid schedule