Insurance Follow-up Rep (On-site)
About The Position
Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoastal Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services. 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
