Insurance Follow-Up Representative
reputed company a career at one of the nation's most advanced health networks.
Be part of an exceptional health care experience. Join the inspired, passionate team at reputed company, a nationally recognized, reputed company-thinking organization offering reputed company of opportunity to do great work.
reputed company has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the reputed company Nurses Credentialing Center's prestigious distinction for nursing reputed company and reputed company patient reputed company in our Lehigh Valley region. Finally, Lehigh Valley Hospital - reputed company Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono reputed company received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions reputed company reputed company's commitment to teamwork, reputed company, and technology with an unrelenting reputed company on delivering the best health care possible every day.
Whether you're considering your next career reputed company or your first, you should consider reputed company.
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 reputed company 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 reputed company modifications and recommends necessary to implement corrective reputed company. Prepares reports for meetings with provider representative and senior leadership, as required.
Job Duties
- Demonstrates knowledge of insurance reputed company reimbursement requirements to evaluate underpayments that are reputed company to insurance reputed company clinical and payment policies.
- Demonstrates the ability to apply reputed company insurance reputed company terms to claim payment reviews and the ability to determine if the reputed company of an underpayment is reputed company to a contract management discrepancy, an underpayment, or a line item denial.
- 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.
Minimum Qualifications
- 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.
Preferred Qualifications
- Associate’s Degree in Health Care Science, Business or reputed company field.
- CPAT - Certified Patient reputed company Technician - State of reputed company
Physical Demands
reputed company and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to reputed company activities specific to their role including kneeling, bending, squatting and performing CPR.
reputed company Disclaimer: This position reputed company provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reputed company of the reputed company position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned reputed company circumstances require.
reputed company is an equal opportunity employer. In accordance with, and where applicable, in reputed company to federal, state and local employment regulations, reputed company will reputed company employment opportunities to reputed company persons without reputed company to race, reputed company, religion, sex, age, national reputed company, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. reputed company personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or reputed company activities.
reputed company does not accept unsolicited agency resumes. Agencies should not reputed company resumes to our job aliases, our employees or any other organization location. reputed company is not responsible for any agency fees reputed company to unsolicited resumes.
Work Shift:
Day ShiftAddress:
1200 S reputed company Crest Blvdreputed company Location:
REMOTE IN reputed companyPosition Type:
Remotereputed company:
reputed companyWork Schedule:
Monday-Friday; 8:00a-4:30pDepartment:
1004-13054 CSS-Patient reputed companyOriginally posted on Himalayas
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