Insurance Follow Up Rep

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

High School Diploma or GED equivalent is required., Knowledge of insurance follow-up processes, clinic operations, and medical terminology is essential., Excellent customer service skills and attention to detail are necessary., Two years of relevant experience in revenue cycle or a related field is preferred..

Key responsibilities:

  • Follow up with insurance payers to resolve unpaid accounts receivable and ensure proper reimbursement.
  • Identify trends in denials and report findings to supervisory staff for escalation.
  • Document all activities in accordance with policies and maintain confidentiality of medical records.
  • Establish and maintain professional relationships with peers and stakeholders.

CHI logo
CHI http://www.commonspirit.careers
10001 Employees
See all jobs

Job description

Responsibilities

Expectations:

  • Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system toensure appropriate reimbursement is received for all FMG providers.
  • Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.
  • Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.
  • Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function.
  • Establishes and maintains professional and effective relationships with peers and other stakeholders.

Qualifications

Minimum Qualifications:

  • High School Diploma or GED equivalent
  • Knowledge of insurance follow up process, clinic operations, general office principles, medical insurance, payer contract, and basic medical terminology and abbreviations, regulatory/reporting requirements
  • Excellent customer service, attention to detail, and the ability to maintain confidentially of medical records

Preferred Qualifications

  • Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities.
  • Graduation from a post-high school program in medical billing or other business-related field

#Remotework

Overview

CHI Memorial Mountain Management

CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.

We care about our employees’ well-being and offer benefits that complement work/life balance.

We offer the following benefits to support you and your family:

Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs

Employee Assistance Program (EAP) for you and your family

Health/Dental/Vision Insurance

Flexible spending accounts

Voluntary Protection: Group Accident, Critical Illness, and Identity Theft

Adoption Assistance

Paid Time Off (PTO)

Tuition Assistance for career growth and development

Matching Retirement Programs

Wellness Program

If you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!

Pay Range

$15.49 - $21.30 /hour

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Customer Service
  • Detail Oriented
  • Social Skills
  • Client Confidentiality

Related jobs