Insurance Follow Up Representative I- Accounts Receivable

Baptist Health Care • Pensacola, FL

7h

About The Position

The Insurance Follow Up Rep is responsible for various tasks in the accounts receivables reconciliation process. This role involves examining, correcting, and updating patient health information to ensure accurate insurance payment and follow-up, as well as applying appropriate contractual allowances. The representative will resolve patient and insurance carrier inquiries promptly to prevent an increase in A/R days. They will utilize online systems from multiple payers to verify eligibility and benefits, check claim status, and make telephone calls to payers to confirm claim receipt and payment status. Maintaining thorough documentation on all accounts worked is crucial, as is identifying non-payment trends by payer and proposing solutions to management. The role also requires applying proper account management principles for accurate follow-up and assisting with other departmental duties as assigned. In emergency situations, the representative may be required to remain on campus.

Requirements

• Accounts receivables reconciliation process
• Examining, correcting, and updating patient health information
• Accurate insurance payment/follow-up
• Applying appropriate contractual allowances
• Resolving patient and insurance carrier inquiries
• Using on-line systems provided by multiple payers to verify eligibility and benefits
• Checking claim status
• Making telephone calls to payers
• Maintaining documentation on accounts worked
• Identifying non-payment trends by payer
• Applying proper account management principles

Responsibilities

• Responsible for the accounts receivables reconciliation process for patient accounts including but not limited to: examining, correcting and consistently updating patient health information to ensure accurate insurance payment/follow-up and applying appropriate contractual allowances.
• Resolves patient and insurance carrier inquiries in a timely manner to avoid increasing A/R days.
• Uses on-line systems provided by multiple payers to verify eligibility and benefits as well as checking claim status appropriately.
• Makes telephone calls to the payer to ensure receipt of claims filing and payment on submitted claims.
• Maintains appropriate/consistent documentation on accounts worked utilizing the accounts receivables work listing or patient accounting system.
• Identifies non-payment trends by payer and notify management and comes to the table with potential solutions to these non-payment trends.
• Applies proper account management principles to accounts to ensure accurate follow up.
• Assist in other duties as assigned to support the operational needs of the department and organization.
• May be required to remain on campus immediately before, during, and after severe weather and/or disasters.

What This Job Offers

• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees