What are the responsibilities and job description for the Insurance Correspondence Representative position at PFS Group?
Job Purpose:
Under the supervision of the Insurance Manager, the Correspondence Representative supports insurance follow-up, denials reduction, and payment resolution efforts for their assigned projects. The Correspondence Representative is responsible for printing, mailing, and recording all paper correspondence for insurance companies or patients. They will process all paper and digital correspondence and upload into corresponding patient charts, making appropriate system actions to prepare the account for insurance follow-up. The Correspondence Representative will learn basic insurance follow-up functions, navigate the client’s host system and internal systems, place occasional phone calls to obtain patient information, and work other projects as needed to support payment efforts. This role is 100% on-site at our Houston office.
Key Responsibilities
- Maintains all digital print request folders, taking appropriate indexing and mailing actions for each within two business days
- Processes any paper mail from patients or insurance companies within two business days of receipt
- Employs strict adherence to privacy guidelines when handling patient correspondence, ensuring 100% accuracy with patient identification
- Keeps track of postage and paper usage, assisting with supply requests for mail processes
- Works with Insurance Representatives for any failed scans or printouts
- Logs denials and places accounts for follow-up within 72 hours of receipt
- Selects correct account status based on correspondence type
- Communicates high priority accounts to Insurance Supervisors
- Places calls to patients for missing documentation for insurance processing
- Places calls to insurance companies for claim statuses as needed
- Creates accurate and detailed account notes to log all actions taken
- Learns basic insurance follow-up to assist with payment resolution and advance within the organization
- Meets all department performance requirements, to include productivity, quality, and attendance standards
- Performs other duties as requested in a team-oriented environment
Qualifications:
Education and Experience
- High school diploma or equivalent required
Required Skills and Abilities
- Keen attention to detail to ensure 100% accuracy on patient accounting records
- Basic medical terminology
- Outstanding listening, communication, problem-solving, and research skills
- Capable of learning multiple software systems
- Capable of learning basic health insurance payment and denial processes
- Proficiency in Microsoft Office suite
- Ability to communicate effectively, both verbally and in writing
- Ability to work well under pressure and multi-task routinely
- Demonstrated stable work history
- HIPAA knowledge and compliance
- Has reliable transportation and positive, consistent attendance history
- Resides within commutable distance to our Houston office location
Preferences
- Revenue cycle or other healthcare experience
PFS Group
Nationwide Patient Account Management Firm.
Based in Houston, Texas, we currently work with 32 clients who operate more than 100 hospital facilities from small, rural community medical centers to metro population center health systems. Leaders in their respective markets and nationwide, our clients rely on our services to support their accounts receivable departments.
PFS Group offers a friendly, caring work environment, with competitive benefits and compensation, (medical, dental, vision, short and long-term disability, life insurance, hospital indemnity, critical illness, accident insurance and a matching 401(k) and Zayzoon!
If you are looking for a position in a dynamic, fast-paced organization with career growth opportunities, come grow with us! www.pfsgroup.org