Job Description

Insurance Follow-up Rep

Monday thru Friday 8am to 5pm

Pay rate- $18hr

We are seeking a detail-oriented, self-motivated Insurance Follow-Up Rep to join our team. This role is responsible for resolving outstanding insurance claims by contacting payers, identifying issues, providing required documentation, and facilitating prompt reimbursement. The ideal candidate has strong analytical skills and experience navigating the full claims resolution process including denials and appeals.

Key Responsibilities:

• Contact insurance companies to determine reasons for outstanding or unpaid claims.

• Research, understand, and correct claim issues to facilitate timely payment.

• Provide additional documentation or information as requested by insurance companies.

• Identify and analyze trends in denied or delayed payments; propose and implement solutions to prevent recurrence.

• Prioritize and follow up on aged and high-dollar accounts receivable with accuracy and diligence.

• Ensure timely and effective follow-up on all assigned payer accounts.

• Serve as a backup to the Authorization Department as needed.

Required Qualifications:

• Minimum 2 years of insurance follow-up experience.

• Previous experience with insurance denials and appeals.

• Ability to navigate insurance websites to check claim and appeal statuses.

• Strong computer skills, including data entry and experience with Electronic Medical Records (EMR) systems.

• Proficiency in Microsoft Office Suite (Excel, Word, Outlook).

• Excellent written and verbal communication skills.

• Strong critical thinking and decision-making skills in moderately complex situations.

• Ability to work independently and collaboratively to meet deadlines.

Preferred Qualifications:

• Prior experience with physician billing.

• Previous authorization experience.

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* Compile, compute, and record billing, accounting, statistical, and other numerical data for billing purposes. Prepare billing invoices for services rendered or for delivery or shipment of goods.
* Verify accuracy of billing data and revise any errors.
* Resolve discrepancies in accounting records.
* Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered.
* Operate typing, adding, calculating, or billing machines.
* Post stop-payment notices to prevent payment of protested checks.
* Verify signatures and required information on checks.
* Keep records of invoices and support documents.
* Perform bookkeeping work, including posting data or keeping other records concerning costs of goods or services or the shipment of goods.
* Compile reports of cost factors, such as labor, production, storage, and equipment.
* Review compiled data on operating costs and revenues to set rates.
* Estimate market value of products or services.
* Update manuals when rates, rules, or regulations are amended.
* Load machines with statements, cancelled checks, or envelopes to prepare statements for distribution to customers or stuff envelopes by hand.
* Encode and cancel checks, using bank machines.
* Match statements with batches of canceled checks by account numbers.
* Consult sources, such as rate books, manuals, or insurance company representatives, to determine specific charges or information such as rules, regulations, or government tax and tariff information.

Job Tags

Full time, Work at office, Monday to Friday

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