[Hiring] Insurance Follow Up Rep @CommonSpirit Health

Role Description

As an Insurance Follow Up Rep, you will resolve unpaid insurance claims and collect outstanding balances from third-party payers.

• Review denials and initiate follow-up with insurers.
• Rectify billing errors and submit appeals.
• Negotiate for maximum reimbursement.
• Understand billing regulations and possess strong problem-solving skills.
• Communicate effectively to optimize revenue recovery.
• Follow up with insurance payers to research and resolve unpaid insurance accounts receivable.
• Make necessary corrections in the practice management system to ensure appropriate reimbursement is received.
• Apply a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices.
• Communicate effectively over the phone and through written correspondence regarding outstanding balances.
• Resubmit claims with necessary information when requested through paper or electronic methods.
• Anticipate potential areas of concern within the follow-up function and identify issues/trends.
• Conduct staff training to address and rectify issues.
• Recognize when additional assistance is needed to resolve insurance balances and escalate appropriately and timely.

Qualifications

• High School GED General Studies and Two years of revenue cycle or related work experience, upon hire.
• High School Graduate General Studies and Two years of revenue cycle or related work experience, upon hire.
• Graduation from a post-high school program in medical billing or other business-related field, upon hire.

Requirements

• None, upon hire.