Insurance Follow Up Representative I

Baptist Health Care • Pensacola, FL

1d

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/follow-up and applying appropriate contractual allowances. The representative will resolve patient and insurance carrier inquiries promptly to prevent an increase in A/R days, utilize payer systems to verify eligibility and benefits, and check claim status. They will also make telephone calls to payers to confirm claim receipt and payment, maintain thorough documentation on accounts, identify non-payment trends by payer, and propose solutions to management. The position requires applying proper account management principles for accurate follow-up.

Requirements

• Minimum Education High School Diploma or Equivalent Required
• Minimum Work Experience 6 months Relevant revenue cycle experience Required

Nice To Haves

• Experience with health care insurance collections Preferred

Responsibilities

• Accounts receivables reconciliation process for patient accounts
• Examining, correcting and consistently updating patient health information to ensure accurate insurance payment/follow-up and applying appropriate contractual allowances
• Resolving patient and insurance carrier inquiries in a timely manner to avoid increasing A/R days
• Using on-line systems provided by multiple payers to verify eligibility and benefits as well as checking claim status appropriately
• Making telephone calls to the payer to ensure receipt of claims filing and payment on submitted claims
• Maintaining appropriate/consistent documentation on accounts worked utilizing the accounts receivables work listing or patient accounting system
• Identifying non-payment trends by payer and notify management and comes to the table with potential solutions to these non-payment trends
• Applying proper account management principles to accounts to ensure accurate follow up

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED