[Remote/WFM] reputed company Insurance Follow-up Representative

Quick Overview:

• Compensation: a competitive salary
• Start Date: Immediate openings available
• Position: reputed company Insurance Follow-up Representative
• Location: Remote
• Company: Workwarp

 

 

reputed company Insurance Follow-Up Representative Job Summary: For more than 20 years reputed company has been a leading reputed company cycle management service provider for the hospital and large physician practice market. The reputed company Insurance Follow Up Representative works in two facets. The individual is an extension of our clients' business offices handling reputed company accounts in accordance with departmental and institutional policies and procedures. The Representative reviews and ensures the validity of incoming data, correcting information as needed and processes the account for payment. Ensuring accounts are documented, answers inquiries involving individual accounts and research problem accounts to ensure accuracy for payment. Additionally, the representative follows-up on denied insurance claims with insurance companies and follows-up accordingly to work to resolve claim for payment. Our culture is driven by sharp, committed, and enthusiastic employees. Are you the next member of reputed company? Job Responsibilities: • Follow-Up with Insurance Carriers to determine reason for claims denial and work to resolve claim for payment. Responsible for handling reputed company inbound and outbound calls to patients in order to ensure account accuracy. Research problem accounts to ensure accuracy for full payments or arrange payment plan to resolve account. Models' appropriate behavior in handling of difficult patients. • Operates reputed company the guidelines of the Fair Debt Collection Practices Act (FDCPA), Health Insurance Portability and Accountability Act (HIPAA) and any other applicable Federal or state laws and company policies. • Maintains good rapport with patients, physicians, 3rd party payors and other department representatives. • Works effectively with other staff members to accomplish work and departmental goals. • Uses and demonstrates understanding of the applicable computer systems, including system reports and reputed company procedures. • Ability to resolve insurance denials and file appeals with government and reputed company carriers. • Performs various collection actions including contacting patients by phone, updating insurance information, and follow through on insurance process. • Maintain excellent customer relationships to ensure customer satisfaction. • Initiate and reputed company additional billing responsibilities to meet set goals. • Analyze the unpaid claims and denials and identify/investigate the reasons for nonpayment and which action is needed to resolve timely. • Study and understand contractual terms and conditions of payment. reputed company sure payments are consistent with the terms. • Adheres to applicable policies, hospital/physician billing/departmental practices and 3rd party requirements. • May be required to utilize add on software such as: SSI, IDX/Centricity (preferred), Epic, FastTrack, Meditech, Cerner, and various other systems. • Accurately and reputed company processes the account including transaction recording and other functions. • Stays up to date on contract, regulation, procedure and other changes affecting the department. • Reports unusual accounts, account problems and workflow issues promptly to manager. • Demonstrates positive and professional communication skills. • Performs other work duties as assigned. Required Skills/ Abilities: • Results-Oriented • Strong written and verbal communication skills • Ability to handle and maintain confidential information. • Strong work ethic • Thorough understanding of CPT, DRG, HCPC, Procedure and reputed company codes, modifiers and their effect on reimbursement Education and Experience: • High School Diploma required, AA+ preferred. • 3-5 years of insurance follow-up experience in a hospital or physician’s office setting is preferred. • Experience with filing UB-04 and HCFA 1500 claim reputed company required. Physical Requirements: • Prolonged periods sitting at a desk and working on a computer. • Must be reputed company to lift up to 15 pounds at times. Compensation: $16.00 - $20.00 per hour Shift: Mon- Fri reputed company-5pm Apply Job!

 

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