Patient Account Rep - Commercial Insurance Follow-Up
Job Summary: Performs any clerical billing responsibility assigned to ensure that patient accounts are processed in a manner that results in prompt and maximized payment. Acts as a liaison between Patient Account Services, physician offices, patients and third party carriers to identify and resolve any related issues.
Research and review insurance denials from reports or documents from insurance companies; verify insurance coverage and benefits; complete and submit reconsideration requests or appeals to insurance companies; place outgoing calls to insurance companies to inquire on claim status (possibly 5-10 calls per day); correct and resubmit corrected claims with supporting documentation as appropriate; work with other department teams to resolve outstanding/unpaid accounts, track work/production daily; participate in weekly team meetings. Work an average of 80 claims per day. Complete other duties as assigned.
Education: High School Diploma or GED.
Licensure, Registration and/or Certification: None.
Work Experience: 3 - 4 years related experience.
Knowledge, Skills and Abilities: Ability to utilize a ten key by touch. Typing 30 wpm. Data Entry 6000 kph. Basic computer knowledge and skills. Good communication skills - written and verbal. Good grammar skills. Basic understanding of a professional business environment. Basic knowledge of CPT and ICD10 codes.
EOE Protected Veterans/Disability