Insurance (Claims) Followu-up Representative

Georgia Urology PA • Stockbridge, GA

2d • Onsite

About The Position

Job Purpose: Responsible for all insurance (claims) follow-up on assigned accounts from the management team.
JOB FUNCTIONS:
Essential Duties & Responsibilities
Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers, verifying insurance, charge payments and refund posting as well as coding reviews and audits.
Research, insurance billing and adjustment identification to ensure proper account resolution.
Prepare and submit clean claims to various insurance companies either electronically or by paper.
Follow up and report status of delinquent accounts.
Answers questions from patients, clerical staff and insurance companies.
Maintain strict confidentiality; adhere to all HIPAA guidelines/regulations.
Conducts self in accordance with GU's employee manual.
Other duties as assigned.

Requirements

• High School Diploma or GED.
• Knowledge of medical billing/collection practices.
• Knowledge of insurance companies policies & procedures, including Government plans
• Knowledge of business office procedures.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Ability to operate a multi-line telephone system.
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand and follow oral and written instructions.
• Knowledge of billing practices, ie. FIN Class, commercial payers, NaviCare, etc.
• Must be well organized and detail-oriented.
• Ability to operate a computer and basic office equipment.
• Knowledge of computer programs.

Responsibilities

• Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers, verifying insurance, charge payments and refund posting as well as coding reviews and audits.
• Research, insurance billing and adjustment identification to ensure proper account resolution.
• Prepare and submit clean claims to various insurance companies either electronically or by paper.
• Follow up and report status of delinquent accounts.
• Answers questions from patients, clerical staff and insurance companies.
• Maintain strict confidentiality; adhere to all HIPAA guidelines/regulations.
• Conducts self in accordance with GU's employee manual.
• Other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees