Insurance Follow Up Representativeonsite for 2 months, then hybrid Job Summary: responsible for ensuring correct and timely reimbursement from third-party payors for services provided by CAA. This role involves appealing, re-billing, and performing other necessary actions to collect revenue. The primary focus is to maximize reimbursements through timely follow-up of accounts.Key Responsibilities:
Investigate and resolve accounts identified as low pays, denials, or otherwise.
Contact insurance companies/third parties via telephone, letter, fax, email, etc.
Review and analyze accounts to identify barriers to correct and timely claim submission.
Ensure all claim submissions, appeals, and requested information are provided within required time frames.
Reconcile credit balances and submit requests for refunds.
Investigate and submit for approval write-off allowances and/or adjustments.
Interact professionally with co-workers and staff in various departments.
Meet minimum production and performance target goals.
Assist with special projects, audits, and reconciliation as necessary.
Mandatory Criteria:
Minimum 1 year of Patient A/R experience in healthcare; prefer 5-7 years of insurance follow-up, AR collection, and denial management for commercial and government payors.
Anesthesia experience is preferred.
EPIC experience is necessary.
Proven working experience as a Collections/Account Receivable Rep.
Solid understanding of insurance follow-up, denials, reimbursements, contracts, and insurance policies.
Skills:
Proficient in Microsoft Excel and comfortable working with large data sets.
Excellent analytic, interpersonal, and organizational skills.
Ability to handle multiple tasks, meet deadlines, and handle confidential materials.
Strong customer service and phone skills.
Knowledge of word processing, electronic mail, and spreadsheet applications.
Pay and BenefitsThe pay range for this position is $20.00 - $23.00/hr.Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a hybrid position in Philadelphia,PA.Application DeadlineThis position is anticipated to close on Feb 21, 2025.About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.