Position title: Insurance Follow-Up Representative
Duration: Full-Time position (Direct hire @ our client)
Salary: $55,000- $65,000
Schedule: Monday - Friday 8:00 am - 5:00 pm EST
Location: Fully On-site
Job Summary:
This role involves following up with third-party payers regarding overdue accounts and carefully reviewing insurance communications to ensure prompt responses. It includes providing necessary billing details to third-party payers for claims adjudication and ensuring that payments are received in accordance with contractual agreements. Additional responsibilities may be assigned as needed.
Key Responsibilities:
Adheres to WPH Performance Standards, Policies, and Behaviors.
Conducts thorough reviews of outstanding balances and takes appropriate actions to resolve them.
Analyzes correspondence to determine appropriate actions for resolving accounts.
Initiates patient or insurance refunds as required.
Sends inquiries to patients for inaccurate or incomplete information.
Makes charge adjustments and allowances entries on accounts as necessary.
Recodes accounts by insurance carrier and plan number for re-billing purposes.
Handles rejections on third-party accounts.
Reviews online billing edits for errors and makes necessary corrections.
Assists with telephone calls as required.
Collaborates with vendors to reconcile outstanding accounts.
Ensures timely processing of claims by payers in compliance with contract provisions.
Requirements:
High school diploma or equivalent.
Preferred experience in clerical roles.
Prior experience in a hospital business office is desirable.
Proficiency in computer skills is required.
Core Competencies:
Strong teamwork and communication skills.
Ability to solve problems and adapt to changing circumstances.
Physical/Mental Demands and Work Environment:
May be exposed to chemicals necessary for job tasks.
Must be able to remain stationary for at least 50% of the time.
Occasionally moves around the office to access files and equipment.
Constantly operates office equipment such as computers, calculators, copy machines, and printers.
Requires accurate exchange of information with insurance plans and patients who may have inquiries.
Top 3 Skills Needed:
Previous HOSPITAL billing, calling, and following up on inpatient claims & disputes.