Insurance Follow Up Rep

CommonSpirit Health•Chattanooga, TN

2d•Onsite

About The Position

The Chattanooga Heart Institute offers the most comprehensive cardiac care available in this region. Founded in 1976, we now have six offices in Tennessee and one in Georgia. Our practice is made up of 29 board-certified cardiologists, three cardiothoracic surgeons and three vascular surgeons. We merged with CHI Memorial Health Care System in 2011 which is part of CommonSpirit Health. CommonSpirit has more than 700 care sites across the U.S. and is committed to building healthy communities.

Requirements

Two or more years in health insurance processing
High school diploma or equivalent

Nice To Haves

medical office experience preferred
some college preferred

Responsibilities

Field patient and insurance calls regarding patient account receivables.
Audit patient accounts for accuracy regarding charges, payments, demographics, insurance information and filing to ensure contractual agreements are being met.
Request adjustments, write-off, payment, refunds/recoups, and transfers when appropriate.
Work insurance aging reports, review claims status, patient eligibility, accuracy of account information and modify as needed to ensure proper and timely payment while maintaining A/R aging per company guidelines to maximize reimbursement.
Submit patient claims, paper and electronic, after corrections have been made or when re-billing is needed.
Create appeal letters to submit to insurance carrier for timely payment.
Review and reply (as needed) to all insurance correspondence, including assigned carrier newsletters and guidelines as well as maintain a working knowledge of assigned carrier website.
Maintain current knowledge of insurance guidelines through newsletters and websites.
Assist with demographic/charge entry and capture of all hospital charges.
Work in all areas of the department during peak times, vacations, illnesses, etc.