- Adheres to WPH Performance Standards, Policies, and Behaviors.
- Conducts thorough reviews of outstanding balances and takes appropriate actions to resolve them.
- Analyzes correspondence to determine appropriate actions for resolving accounts.
- Initiates patient or insurance refunds as required.
- Sends inquiries to patients for inaccurate or incomplete information.
- Makes charge adjustments and allowances entries on accounts as necessary.
- Recodes accounts by insurance carrier and plan number for re-billing purposes.
- Handles rejections on third-party accounts.
- Reviews online billing edits for errors and makes necessary corrections.
- Assists with telephone calls as required.
- Collaborates with vendors to reconcile outstanding accounts.
- Ensures timely processing of claims by payers in compliance with contract provisions.
- High school diploma or equivalent.
- Preferred experience in clerical roles.
- Prior experience in a hospital business office is desirable.
- Proficiency in computer skills is required.
- Strong teamwork and communication skills.
- Ability to solve problems and adapt to changing circumstances.
- May be exposed to chemicals necessary for job tasks.
- Must be able to remain stationary for at least 50% of the time.
- Occasionally moves around the office to access files and equipment.
- Constantly operates office equipment such as computers, calculators, copy machines, and printers.
- Requires accurate exchange of information with insurance plans and patients who may have inquiries.
- Previous HOSPITAL billing, calling, and following up on inpatient claims & disputes.
- Medicare & commercial insurance experience
- Reliability
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Insurance Follow-Up Representative - White Plains, United States - Medasource
Description
Position title: Insurance Follow-Up Representative
Duration: Full-Time position (Direct hire @ our client)
Salary: $55,000- $65,000
Schedule: Monday - Friday 8:00 am - 5:00 pm EST
Location: Fully On-site
Job Summary:
This role involves following up with third-party payers regarding overdue accounts and carefully reviewing insurance communications to ensure prompt responses. It includes providing necessary billing details to third-party payers for claims adjudication and ensuring that payments are received in accordance with contractual agreements. Additional responsibilities may be assigned as needed.
Key Responsibilities:
Requirements:
Core Competencies:
Physical/Mental Demands and Work Environment:
Top 3 Skills Needed:
