Description

JOB SUMMARY: Insurance claim follow up and research. Physician/Patient advocate regarding account balances and payment arrangements. Contacting insurance companies in reference to patient's wellness benefits prior to appointment when requested by a physician prior to patient's appointment. Make documentation on patient's accounts regarding payment arrangements.

KEY RESPONSIBILITIES: Insurance Representatives are each responsible for the insurance follow up and research for multiple physicians and PA's.

Each Representative is responsible for:

• Timely follow up on insurance A/R

(Insurance A/R- Medicare, Medicaid, Blue Cross, United Health, Commercial)

(Patient A/R- Private Pay, Patient balance after insurance responsibility is satisfied)

• Coordinate with scheduling for payment arrangements and blocked accounts.
• Coordinate with Patient Support Representative with questions about insurance coverage to assist patient.
• Review and prep accounts for collection agency
• Work clearinghouse rejected invoices (for DOB, Name, Coverage)
• Telephone work with patient regarding account questions or issues.
• Work incoming communication from insurance/patients.

DISCLAIMER: This is only a summary of the typical functions of the job, not an exhaustive or comprehensive list of all job responsibilities, task, and duties. Responsibilities, task, and duties of the jobholder might differ from those outlined in the job description and those other duties, as assigned, might be part of the job.

Requirements

MINIMUM JOB REQUIREMENTS: High School or GED. 2 years Medical Billing and Coding and Computer Experience. Excellent Customer Service Skills.

PHYSICAL REQUIREMENTS: Must be able to lift 10 lbs., sitting for extended periods of time.