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