Tucson Medical Center-posted about 1 year ago
Full-time • Entry Level
Tucson, AZ
Ambulatory Health Care Services

The Billing Follow Up Representative is responsible for managing insurance billing, follow-up, and collection activities to ensure timely and accurate payments. This role requires strong communication skills to interact with insurance companies and state agencies, as well as a comprehensive understanding of payer contracts and billing requirements. The representative will also assist in maintaining account receivable standards and provide excellent customer service to patients and staff.

  • Ensure efficient handling of all insurance billing, follow up, and collection activities.
  • Communicate with insurance companies and state agencies regarding billing issues.
  • Maintain effective public relations with patients and the public.
  • Assist management in reducing account receivable (AR) days to meet industry standards.
  • Ensure patient accounts are billed and followed up on timely and accurately according to payer contracts.
  • Provide information regarding patient accounts in response to inquiries while safeguarding confidential information.
  • Prepare and enter contractual write-offs as identified.
  • Serve as an information resource to patients and hospital staff regarding insurance claims.
  • Analyze patient accounts and review explanation of benefits and payer remits.
  • Train and assist in the implementation of new software programs and system upgrades.
  • Respond to insurance inquiries and requests received by mail or electronically.
  • Complete all billing edits daily for claim submission.
  • High School diploma or General Education Degree (GED) or equivalent combination of education and experience.
  • Three years of related experience in medical billing or insurance follow-up in a physician or hospital setting.
  • Knowledge of medical insurance practices, policies, and regulations.
  • Knowledge of UB/1500 claim forms and government/non-government uniform billing guidelines.
  • Knowledge of medical terminology and coding related to hospital and professional billing.
  • Experience with revenue, CPT diagnosis codes, and modifiers.
  • Skill in evaluating bills/claims for timely payment collection.
  • Ability to provide assistance or training to other staff members.
  • Health insurance coverage
  • Paid holidays
  • Flexible scheduling
  • Professional development opportunities
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