Job Description

Job Description

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.
* Contact customers to obtain or relay account information.
* Route statements for mailing or over-the-counter delivery to customers.
* Monitor equipment to ensure proper operation.
* Fix minor problems, such as equipment jams, and notify repair personnel of major equipment problems.
* Review documents, such as purchase orders, sales tickets, charge slips, or hospital records, to compute fees or charges due.
* Track accumulated hours and dollar amounts charged to each client job to calculate client fees for professional services, such as legal or accounting services.
* Weigh envelopes containing statements to determine correct postage and affix postage, using stamps or metering equipment.
* 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.
* Compare previously prepared bank statements with canceled checks and reconcile discrepancies.
* Match statements with batches of canceled checks by account numbers.
* Take orders for imprinted checks.
* Encode and cancel checks, using bank machines.
* Load machines with statements, cancelled checks, or envelopes to prepare statements for distribution to customers or stuff envelopes by hand.
* Compute credit terms, discounts, shipment charges, or rates for goods or services to complete billing documents.
* Update manuals when rates, rules, or regulations are amended.
* Estimate market value of products or services.
* Review compiled data on operating costs and revenues to set rates.
* Answer inquiries regarding rates, routing, or procedures.
* Compile reports of cost factors, such as labor, production, storage, and equipment.
* Create billing documents, shipping labels, credit memorandums, or credit forms.
* Perform general administrative tasks, such as answering telephones, scheduling appointments, and ordering supplies or equipment.
* Return checks to customers or retrieve checks returned to customers in error, adjusting accounts and answering inquiries about errors as necessary.

Job Tags

Monday to Friday,

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