Medical Insurance Follow Up Agent

Job Description

First Credit Services, Inc. is a premier A/R Management and Collection Agency working within the collections industry. Being leaders in the industry, we remain at the forefront of CFPB and regulatory compliance. We stand at an A rating by the Better Business Bureau. As a national debt recovery agency; we have been pioneering innovative and effective collection and decline management programs since our inception in 1993. With our state of the art technology and computer systems, we focus on customer service is driven collections.

SUMMARY:

The Insurance Follow-up Representative will contact third party payers to resolve outstanding medical insurance claims. The Insurance Follow-Up Representative will manage qualifying patient accounts from the client for insurance follow up and resolution. This person should be able to build and nurture strong personal relationships as well as assist our team to satisfy our client's needs.

RESPONSIBILITIES:

What You'll Do Include the following. Others may be assigned. 

• Responsible for all aspects of follow up and collections, including making telephone calls and accessing payer websites. 

• Identify issues or trending and provide suggestions for resolution. 

• Accurately and thoroughly documents the pertinent collection activity performed.

 • Review the account information and necessary system applications to determine the next appropriate work activity. 

• Verify claims adjudication utilizing appropriate resources and applications.

 • Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers. 

• Edit claims to meet and satisfy billing compliance guidelines for electronic submission. 

• Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory. 

• Participate in and attend meetings, training seminars, and in-services to develop job knowledge. 

• Participate in the monthly, quarterly, and annual performance evaluation process with their Supervisor.

 • Respond timely to emails and telephone messages as appropriate. •

 Communicate issues to management, including payer, system, or escalated account issues. 

REQUIREMENTS:

· 2 years or more work experience in the Healthcare Insurance Follow Up or related field or combination of applicable education and experience

· Working knowledge and application of Microsoft Excel, Word, and Outlook

· Excellent oral and written communication skills.

· Ability to interact with clients and employees at all levels in all departments.

· Proactive, flexible, responsible, and resourceful.

· Efficient at handling and prioritizing multiple tasks and projects in a time-sensitive environment.

· Must enjoy working in a fast-paced environment and be able to thrive under pressure.

· Must be organized and have extraordinary time management skills

· Medical claims process – Knowledge of claims information, coding, and insurance policy application to those claims 

What We Offer:

 At First Credit Services, we truly value our people. That's why we offer a benefits package that is more than competitive. From your health and well-being, we're as committed to your future as you are. 

-Competitive wages 

-Opportunities to better yourself professionally 

-Health, Dental & Vision Coverage** 

-Paid Time Off (PTO)** 

-Company Paid Holidays** 

-Employee perks and discount programs 

-Available for full-time, regular employees of First Credit Services after meeting certain eligibility requirements