Payment Integrity Representative

HealthFund Solutions LLC•Orlando, FL

just now

About The Position

Reporting to our Payment Integrity Manager, the Payment Representative acts as a liaison between our patients and their insurance companies. Prior experience with insurance technology, medical background, and payment management of accounts.

Requirements

High School Diploma required
Three (3) to five (5) years of related experience in medical billing or accounting is preferred
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
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