[Hiring] Insurance Follow Up Rep @CHI Health Clinic

Role Description

As our Insurance Follow Up Rep, you will play a vital role in our revenue cycle management team, serving as a key advocate for accurate billing and reimbursement. You will be responsible for navigating the complexities of commercial and government health insurance payers to resolve outstanding balances and non-coding denials. By leveraging your expertise in Explanation of Benefits (EOB) and remittance advice interpretation, you will ensure that our healthcare facility maintains financial health while upholding the highest standards of professional integrity and regulatory compliance.

• Manage work queues to prioritize unpaid insurance accounts receivable.
• Utilize phone, online portals, and written correspondence to secure appropriate reimbursement.
• Research denial trends and resubmit claims with necessary supporting documentation.
• Accurately update patient accounts within our billing system.
• Identify recurring billing issues and conduct staff training to rectify process gaps.
• Escalate complex claim disputes to ensure timely resolution.

To be successful in this role, you will possess a strong background in revenue cycle operations, coupled with a deep understanding of CPT and ICD coding. We are looking for a detail-oriented professional who excels at critical thinking and can effectively communicate with insurance representatives to advocate for payment. If you have two years of relevant experience, a commitment to data accuracy, and the ability to maintain confidentiality while managing high-priority tasks in a fast-paced medical billing environment, we invite you to apply and join our dedicated team.

Qualifications

• Two years of relevant experience in revenue cycle operations.
• Strong understanding of CPT and ICD coding.
• Detail-oriented with excellent critical thinking skills.
• Effective communication skills with insurance representatives.
• Commitment to data accuracy and confidentiality.

Requirements

• 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.