WFH Insurance Follow-Up Representative
External•Duluth, GA
•Hybrid
About The Position
The Insurance Verification Representative is responsible for researching and updating the insurance information, commercial and government, within various databases with the current benefit status for each patient. Information can be obtained electronically or by direct communication with the insurance companies.
Requirements
- A high school diploma or equivalent is required
- 2 or more years of experience in medical billing required
- Experience working with both government and commercial payers required
- Knowledge of insurance terminology and processes
- Intermediate to advanced proficiency in computer skills using Microsoft Word and Excel software
- Knowledge and skill navigating insurance portals for online benefit review
- Ability to multi-task in a fast-paced environment
- Excellent verbal, written and communication skills
- Strong analytical/problem solving skills
- High attention to detail
- Ability to read and understand a variety of information presented in different formats from a variety of sources
- Must be able to type a minimum of 25 wpm
Nice To Haves
- 2 or more years of experience within the medical industry is preferred
- Medical system platform experience with STAR, EPIC, etc.
Responsibilities
- Responsible for verifying patient insurance coverage
- Responsible for taking data provided and submitting claims to various private and government sponsored insurance companies
- Follow up with pending claims and work denials for all payers
- Query information on remote Medicare software
- Learn new systems and process solutions as they present themselves to ensure proper assignment and workflow
- Contacts insurance companies/payers or patients to gather information necessary to complete appeal processing
- Remain compliant with our policies, process and legal guidelines
- Will need to be open to ongoing feedback and coaching aimed at improving performance
- Remain compliant with HIPPA and other State and Federal regulations
- Entering and/or updating the benefit information in an accurate manner into the various databases
- Adhere to the production standards set for the department and client
- Accuracy and confidentiality in handling medical records in compliance with HIPPA, Federal, State and Company requirements
- Other duties as assigned by manager
Benefits
- Compensation and benefits information available at https://www.holliscobb.com/state-specific-benefits/
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
