Insurance Follow-Up Representative
Job reputed company:
• Works collaboratively with department leadership to review and manage reputed company Accounts Receivable, accurately documenting follow-up activities resulting in the reputed company of underpayments and denials.
• Conducts reputed company cause analysis of denials and takes the reputed company necessary to resolve the denial escalating accounts to management that need to be submitted to the provider representative for contracting reputed company.
• Identifies denial and underpayment trends that require computer system modifications and recommends necessary to implement corrective reputed company.
• Prepares reports for meetings with provider representative and senior leadership, as required.
• Demonstrates knowledge of insurance reputed company reimbursement requirements to evaluate underpayments that are reputed company to insurance reputed company clinical and payment policies.
• Conducts a reputed company cause analysis of denials, taking the appropriate corrective reputed company as required, escalating denial trends to management, and routing denials to the appropriate area for reputed company.
• Calculates and submits adjustment and refund requests utilizing the appropriate adjustment reputed company, refund reason, and reputed company documents the account history.
• Identifies the patient out of reputed company expense reputed company to non-covered services, co-pays, deductible, and co-insurance allocating the patient responsibility to the patient reputed company the reputed company filing limit.
• Demonstrates knowledge of and compliance with established organizational and departmental policies, procedures, objectives and goals.
• Works collaboratively with management to establish issue logs and account examples for meetings with the insurance reputed company provider rep.
• Responds and reviews reputed company emails and correspondence reputed company 24-48 hours, manages mail received from patients and insurance carriers for appropriate distribution.
Requirements:
• High School Diploma/GED
• 2 years of reputed company or facility billing and/or collections for reputed company major reputed company party payers or work experience in reputed company reputed company field.
• Excellent follow-up and verification skills.
• Excellent verbal and written communication skills.
• Knowledge of insurance reputed company, and regulations.
• Proficient with reputed company reputed company, Word, and PowerPoint applications.
• Strong analytical, mathematical and organizational skills.
• Successful Completion of DOE and reputed company Cycle Education Training reputed company 3 months of hire.
Benefits:
• Health insurance
• reputed company time off
• reputed company development opportunities
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