Insurance Follow Up Representative

Premier Medical Group Of The Hudson Valley • Poughkeepsie, NY

388d

About The Position

The Insurance Follow up Representative plays a crucial role in managing and resolving outstanding third-party receivables within the billing department. This position focuses on meeting productivity standards related to cash collections and ensuring timely follow-up and resolution of accounts.

Requirements

• Minimum of a High School diploma
• 2 to 4 years relevant experience preferably in a healthcare environment
• Strong organizational skills
• Computer proficiency
• Strong customer service, verbal and written communication skills
• Comprehensive knowledge of insurance plans, member eligibility, and medical billing
• Ability to work independently and collaboratively on assigned tasks and projects

Responsibilities

• Extensive Insurance follow up for various insurance plans
• Working denials, submitting appeals and corrected claims
• Thorough knowledge and understanding of insurance plan policy updates including authorization and medical necessity requirements
• Insurance Refund processing
• Answering phone calls
• Answering patient and staff questions for particular insurance plans
• Setting up users for the insurance portals
• Overall awareness of specified insurance plans accounts receivable issues
• All Other duties as assigned

What This Job Offers

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