Insurance Follow Up Rep

Company:  Premier Medical Group
Location: Poughkeepsie
Closing Date: 20/10/2024
Hours: Full Time
Type: Permanent
Job Requirements / Description

JOB DESCRIPTIONJOB TITLE: Insurance Follow up RepresentativeDEPARTMENT/DIVISION: Billing STATUS: Full-time, Non-ExemptREPORTS TO: Billing ManagerDATE: June 2022POSITION 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 plansWorking denials, submitting appeals and corrected claimsThorough knowledge and understanding of insurance plan policy updates including authorization and medical necessity requirementsInsurance Refund processingAnswering phone callsAnswering patient and staff questions for particular insurance plansSetting up users for the insurance portalsOverall awareness of specified insurance plans account receivable issuesAll Other duties as assignedEDUCATION & EXPERIENCE:Minimum of a High School diploma2 to 4 years relevant experience preferably in a healthcare environment.QUALIFICATIONS & REQUIREMENTS:Strong organizational skills.Computer proficiencyStrong customer service, verbal and written communication skillsComprehensive knowledge of insurance plans, member eligibility, and medical billingAbility to work independently and collaboratively on assigned tasks and projects

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