JOB DESCRIPTIONJOB TITLE: Insurance Follow up RepresentativeDEPARTMENT/DIVISION: Billing STATUS: Full-time, Non-ExemptREPORTS TO: Billing ManagerPOSITION SUMMARY: The Insurance Follow up Representative is responsible for collecting and resolving outstanding third-party receivables, meeting productivity standards related to cash collections, aging of accounts, timely follow up and account resolution.DUTIES AND RESPONSIBILITIES:
Extensive Insurance follow up for various insurance plans
Working denials, submitting appeals and corrected claims
Thorough knowledge and understanding of insurance plan policy updates including authorization and medical necessity requirements
Insurance Refund processing
Answering phone calls
Answering patient and staff questions for particular insurance plans
Setting up users for the insurance portals
Overall awareness of specified insurance plans accounts receivable issues
All Other duties as assigned.
EDUCATION & EXPERIENCE:
Minimum of a High School diploma
2 to 4 years relevant experience preferably in a healthcare environment.
QUALIFICATIONS & REQUIREMENTS:
Strong organizational skills.
Computer proficiency
Strong customer service, verbal and written communication skills
Comprehensive knowledge of insurance plans, member eligibility, and medical billing
Ability to work independently and collaboratively on assigned tasks and projects
Premier Medical Group is an Equal Opportunity Employer