Senior Correspondence Representative

PFS Group•Houston, TX

3d•Onsite

About The Position

Under the supervision of the Insurance Manager, the Senior Correspondence Representative supports insurance follow-up, denials reduction, and payment resolution efforts by leading correspondence workflows on behalf of all insurance projects. The Senior Correspondence Representative is responsible for maintaining all printing, mailing, and updating patient records for any insurance or patient correspondence. They will oversee the processing of all paper and digital correspondence, auditing uploads into patient charts for accuracy and appropriate actions taken. The Senior Correspondence Representative will have an understanding of insurance follow-up as well as an eye for efficiency and detail. They will assist the Correspondence team in navigating the client’s host system and internal systems, providing training where needed. They will manage inventory of all required supplies. This role is 100% on-site at our Houston office.

Requirements

High school diploma or equivalent required
One year (12 months) of revenue cycle experience
Keen attention to detail to ensure 100% accuracy on patient accounting records
Basic medical terminology
Outstanding listening, communication, problem-solving, and research skills
Capable of learning multiple software systems
Capable of learning basic health insurance payment and denial processes
Proficiency in Microsoft Office suite
Ability to communicate effectively, both verbally and in writing
Ability to work well under pressure and multi-task routinely
Demonstrated stable work history
HIPAA knowledge and compliance
Has reliable transportation and positive, consistent attendance history
Resides within commutable distance to our Houston office location

Nice To Haves

Epic HB or PB Resolute experience

Responsibilities

Oversees all digital print request folders, taking appropriate indexing and mailing actions for each within two business days
Ensures any paper mail from patients or insurance companies is processed within two business days of receipt
Employs strict adherence to privacy guidelines when handling patient correspondence, ensuring 100% accuracy with patient identification
Keeps track of postage and paper usage, submitting orders or supply requests as needed
Works with Insurance Representatives to resolve any failed scans or printouts
Verifies denials have been logged and patient accounts have been placed for follow-up within 72 hours of receipt
Aids in teaching correct account statuses based on correspondence type
Communicates high priority accounts to Insurance Supervisors
Places calls to patients for missing documentation for insurance processing
Places calls to insurance companies for claim statuses as needed
Trains Correspondence team on thorough documentation and account notes
Understands insurance follow-up requirements and anticipates ways to assist with payment resolution
Meets all department performance requirements, to include productivity, quality, and attendance standards
Performs Correspondence duties assigned to the team and sets a positive example for teammates
Performs other duties as requested in a team-oriented environment