Job Description

Opportunity Description

Experienced Patient Accounts Insurance Follow-up Representative needed to perform timely and effective follow-up on insurance claims. This role will be responsible for initiating follow-up to third party payers on delinquent accounts and reviewing insurance correspondence and responding in a timely manner. Responsible for supplying third party payers with appropriate billing information in order to adjudicate a claim. Responsible for assuring appropriate payment received in accordance with contract terms 

Job Duties

• Completes review of third-party outstanding balances and takes appropriate steps to resolve and reconcile outstanding balances
• Reviews correspondence for appropriate action to resolve accounts
• Researches and initiates refunds to patients or insurance carriers as needed
• Sends inquiries to patients regarding inaccurate or incomplete information
• Completes charge adjustments and allowances entries on accounts as needed
• Recodes accounts by insurance carrier and plan number and enters into system for re-billing purposes
• Processes rejections on third party accounts
• Reviews on-line billing edits for errors, corrections or missing information. Enter necessary corrections 
• Assists with telephone calls as needed
• Works with vendors as necessary to reconcile and resolve outstanding accounts
• Assures payers process claims timely and according to contract provisions.

Experience & Skills Required

• Insurance follow-up and/or billing experience 
• Hospital business office / Medical office experience 
• Knowledge of medical terminology, coding and medical insurance
• Must be computer proficient