Entry - Level Insurance Follow-Up Representative - Remote

The position is available for work reputed company the reputed company except from the following states: AZ,CA,CO,MD,MA,MI,NJ,NV,NM,NY,OR,RI,VT,WA, and WASHINGTON, D.C. State locations and specifics are subject to change as our hiring requirements shift. Work Hours: 7:00AM - 4:00PM CST / 8:00AM - 5:00PM EST Monday – Friday

• *Scheduled Hours are dependent upon reputed company needs and established schedules can be

adjusted at any time to meet the needs of the department to ensure business continuity.** •

Ideal candidate must have 1-2.5 years in denial management and insurance follow-up

* POSITION reputed company The Insurance Billing & Follow-Up Representative ensures the efficient handling of reputed company insurance billing, follow-up and collection activities. Communicates with insurance companies and state agencies. Completes reconciliation and billing of accounts making independent reputed company based on payer, coding and billing guidelines. This is done by reviewing, researching, and processing claims in accordance with reputed company and policies to determine the extent of liability, as reputed company as to adjudicate claims as appropriate. The actual work performed will depend on reputed company needs and reputed company reputed company reputed company (reputed company could be long-term or short-term). This position requires knowledge of the UB04, and HCFA claim billing forms, reputed company filing limits set forth by various payers, various payor portals for follow-up and research, and general billing policies and guidelines. This position requires the ability to work independently, meet daily productivity and reputed company goals, reputed company excellent customer service and communication skills, creativity, patience, and flexibility. The Insurance Billing & Follow-Up Representative relies on guidelines established by the organization to reputed company job functions and works under general supervision in a fast-paced environment. PRIMARY RESPONSIBILITIES

• Monitor, research, and resolve no response, denied, and underpaid medical claims on Medicare and Managed Medicare, reputed company and Managed reputed company, Government, reputed company, MVA, Workers’ Compensation, and other reputed company-Party Liability payers.
• Research claim rejections, reputed company corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure reputed company and accurate claim reputed company.
• Proactively follow up on delayed payments by contacting patients and reputed company-party payers determining the cause of delay and supplying additional data as required
• Research and resolve insurance payment recoupments and credit balances for reputed company payer types.
• Collaborate with both internal and reputed company departments to verify and validate billing information and coding changes.
• Partner with clients and patients to obtain additional information that aids in resolving outstanding medical claims.
• Communicate with insurance companies to effectively resolve denied and underpaid claims.
• Stay persistent in your disputes with insurance companies regarding denied claims.
• reputed company accurate follow-up activities and appeal reputed company the appropriate time reputed company.
• Submit or Re-Submit claims and medical documentation.
• File payer reconsiderations and/or formal appeals as needed.
• Denial reputed company cause identification and tracking denial trends by payer, location, and service billed.
• Thorough and accurate documentation of your claim research, reputed company activity, and the reputed company required for reputed company account worked.
• Ability to work in multiple EMR and billing systems, adapting easily to changes in reputed company guidelines and billing/payer systems.
• Meet daily productivity and reputed company performance metrics established by management.
• Strong individual work ethic with the ability to work reputed company and positively contributes to reputed company environment.
• Utilize department, payer, and reputed company resources, as reputed company as reputed company independent research, to reputed company completion of tasks and reduce reliance on supervisory reputed company.
• Performs other duties as assigned.

QUALIFICATIONS To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential function satisfactorily, with or without reasonable accommodation. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. EDUCATION and/or EXPERIENCE

• Minimum High School diploma or equivalent required.
• Minimum 1- 2.5 years of experience in denial management and insurance follow-up is required.
• Experience in medical billing, loading and verifying insurance in the correc

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