Insurance Follow-up Rep (On-site)

Prime Healthcare • Lewiston, ME

10d • Onsite

About The Position

Central Maine Healthcare is seeking a Full Time, Insurance Follow-Up Representative to join our team! Position Summary: The Insurance Follow–up Representative’s responsibility is to reduce outstanding insurance due balances accurately and in a timely fashion to ensure a positive cash flow for the regional healthcare systems

Requirements

• High school graduate or equivalent.
• Minimum of two years relevant experience, including knowledge of insurance billing and medical terminology.
• Thorough understanding of various insurance plans, government agencies, Medicare and Medicaid.

Responsibilities

• Contacts insurance companies to follow up on third party balances according to stratified processing environment principals.
• Documents all correspondence and conversations with insurance companies, governmental agencies, third party payers and patients on patient 's account.
• Review and resolve credit balances according to departmental guidelines.
• Reviews rejections from third party payors, acting appropriately on those when necessary.
• Maintains a problem log to include all denials, claim issues, registration errors and other issues for monthly reporting to individual departments/practices.
• Stays informed of changes in the insurance industry.
• Consults with other CMMF departments to obtain, verify billing information.
• Interacts with patients/families in a professional manner.
• Provides explanations regarding statements, insurance coverage; ensures confidentiality of patient records.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees