Payment Integrity Representative

HealthFund Solutions LLCOrlando, FL
Onsite

About The Position

Reporting to our Payment Integrity Manager, the Payment Representative acts as a liaison between our patients and their insurance companies. This is an onsite role 5 days a week at our corporate office in Orlando, Fl. Monday-Friday 8:00am-4:30pm. Prior experience with insurance technology, medical background, and payment management of accounts preferred.

Requirements

  • High School Diploma required
  • Organized
  • Extreme Attention to Detail
  • Process Initiative
  • Ability to communicate effectively in speaking and writing
  • Work effectively with individuals from diverse backgrounds
  • Ability to establish and maintain effective working relationships
  • Ability and desire to communicate effectively by telephone
  • Perform basic operations in Microsoft Office Suite

Nice To Haves

  • College Degree or some college preferred
  • Three (3) to five (5) years of related experience in medical billing or accounting is preferred
  • General Accounting experience is helpful
  • Prior experience in medical insurance invoicing and payment management of accounts is helpful

Responsibilities

  • Interact with Company departments and external vendors
  • Send, receive, and review contracts with external vendors
  • Update Company databases, with extreme attention to detail
  • Work in compliance with banking portals
  • Verify Insurance information on patient account for accuracy and contract compliance
  • Assist in making patient insurance premiums payments
  • Accurately record payments made in company database per outlined procedures
  • Review exception reports
  • Actively pursue refunds owed by insurance companies
  • Maintains accurate and organized patient files (both paper and electronic versions)
  • Other duties as assigned

Benefits

  • Medical, Dental, and Vision Insurance
  • Life Insurance
  • Short-Term and Long-Term Disability
  • Critical Illness & Accident Plans
  • 401(k) with up to 4% employer match
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