Insurance Follow Up Rep

CommonSpirit Health • Omaha, NE

2d • Onsite

About The Position

Where You’ll Work From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours. Job Summary and Responsibilities As our Insurance Follow Up Rep, you will be a crucial asset in our revenue cycle management team, responsible for corresponding with commercial and government health insurance payers. Your primary function will be to research and resolve outstanding insurance balances and non-coding denials, ensuring correct reimbursement for services rendered. This role directly contributes to the financial health of our ministry by safeguarding revenue integrity and maintaining compliance with established guidelines. Every day you will engage in comprehensive follow-up activities, including phone calls, online processing, fax, and written correspondence to address unpaid or underpaid claims. You'll expertly analyze Explanation of Benefits (EOBs) and remittance advices, effectively communicating with payers to explain balances and resubmit claims with necessary information. This role also involves identifying potential areas of concern or trends, proactively rectifying issues, and escalating complex cases to management, ensuring meticulous documentation of all actions in the billing system.

Requirements

• Minimum of two years of revenue cycle or related work experience.
• Strong understanding of medical insurance, payer contracts, CPT, and ICD codes.
• Ability to troubleshoot and adapt to diverse situations.
• Maintain confidentiality.
• Excellent customer service skills, including professional telephone interactions.
• Detail-oriented, analytical thinker.
• Ability to effectively prioritize tasks.
• Thrive in a fast-paced environment.

Nice To Haves

• High School GED General Studies and Two years of revenue cycle or related work experience , upon hire
• High School Graduate General Studies and Two years of revenue cycle or related work experience , upon hire
• Graduation from a post-high school program in medical billing or other business related field is , upon hire

Responsibilities

• Research and resolve outstanding insurance balances and non-coding denials.
• Ensure correct reimbursement for services rendered.
• Engage in comprehensive follow-up activities, including phone calls, online processing, fax, and written correspondence to address unpaid or underpaid claims.
• Analyze Explanation of Benefits (EOBs) and remittance advices.
• Communicate with payers to explain balances and resubmit claims with necessary information.
• Identify potential areas of concern or trends.
• Proactively rectify issues.
• Escalate complex cases to management.
• Document all actions in the billing system.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED