Northeast Florida’s Premier Orthopedic and Spine Physicians
Insurance Follow-Up Representative
Location
Florida
Posted
38 days ago
Salary
0
Seniority
Mid Level
Job Description
Insurance Follow-Up Representative
Southeast Orthopedic Specialists
• Review insurance denials to determine and take the next appropriate action steps to receive payment from the payor. • Appeal claims that have been denied for no auth, medical necessity, etc. • Verify receipt of claims with insurance plans to ensure timeliness of claims reimbursement. • Assume full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts. • Communicate with payors through phone calls, emails, and payor portals. • Process and take action on any written correspondence from insurance payors. • Identify and trend reasons for claim denials. • Resolve claim discrepancies reported by patients and other clinical departments.
Job Requirements
- Must have a minimum of two years of medical claims processing experience.
- Must be able to read and understand the Explanation of Benefits and denial reasons.
- Advanced computer knowledge, including Windows-based programs such as Word and Excel.
- Experience working with Blue Cross/Blue Shield, Commercial insurance companies, and Workman's Compensation carriers.
Benefits
- Competitive Health & Supplemental Benefits
- Monthly stipend to use toward ancillary benefits
- HSA with qualifying HDHP plans with company match
- 401k plan
- Employee Assistance Program available 24/7
- Employee Appreciation Days/Events
- Paid Holidays & Paid Time Off
- AND MORE!
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