Insurance Correspondence Representative

PFS Group•Houston, TX

4d•Onsite

About The Position

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.

Requirements

High school diploma or equivalent required
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

Nice To Haves

Revenue cycle or other healthcare experience

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