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Insurance Follow Up Representative

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Job Description - Insurance Follow Up Representative

Benefits:



  • Competitive Health & Welfare Benefits

  • Monthly $43 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 that is available 24/7 to provide support

  • Employee Appreciation Days

  • Employee Wellness Events


Minimum Qualifications:



  • Minimum two to three years of experience in medical billing.

  • Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.

  • HSD/GED


Preferred:



  •  Knowledge of computer systems. Experience with GE patient management system p

  • Knowledge of the physician billing processes, ICD-10, and CPT coding.


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.

  • Obtains and attaches referrals/authorizations to appointments/charges.

  • Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.

  • Assumes full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.

  • Analyzes account for proper claims processing and payment posting through inquiries from patients or staff.

  • Identifies and communicates trends and/or potential issues to the management team.

  • Follows and maintains all HOPCo policies and procedures, including those specific to billing and the Revenue Cycle.


About us:


The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses!?


• #1 for Orthopedic Practices


• #1 for Healthiest Healthcare Employers


• #3 for Best Healthcare Workplace Culture


• Winner in Best Places to Work

Original job Insurance Follow Up Representative posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.
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