Insurance Follow-up Representative

Catholic Health•Melville, NY

5d•$24 - $31

About The Position

Under the direction of the Physician Revenue Realization Manager, the Insurance Follow-Up Representative is responsible for investigating claims status with insurance carriers, correcting and resubmitting denied claims in the EPIC billing system.

Requirements

High School diploma or equivalent required.
Strong knowledge of medical insurance and healthcare billing
Establishes and demonstrates competency in accounts receivable systems and associated applications
Ability to communicate effectively with insurance carriers, patients, and co-workers
Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm.
Excellent verbal and auditory skills are required for communicating with internal staff, customers and representatives from external departments and agencies.
Minimum of 3 years of Physician Billing experience, including insurance carrier follow up and customer service, required.

Responsibilities

Performs follow up on all outstanding accounts assigned in accordance with established standards and procedures.
Determines reason for denial and appeals accounts as necessary.
Reviews and edits any rejections stemming from electronic billing submissions and corrects and resubmits claims.
Verifies accuracy of patient insurance and demographic information.
Generates bills to patients for services not covered by insurance.
Investigates over-payments and takes appropriate action to resolve. Initiates refund requests in accordance with departmental procedures.
Responds to requests for information and telephone inquiries from patients, insurance carriers, and outside agencies in a courteous manner.
Send secondary claims to appropriate payors.