BPO - Healthcare Insurance Follow-up Representative (Onsite Setup)

Unity Communications; Guadalajara; On-site; MXN 167,000 - 246,000; Full time

Benefits offered by this job

Grocery vouchers

Legally mandated benefits

Friendly work culture

Additional benefits

Job summary

Unity Communications is seeking an Insurance Follow-up Representative to join our Guadalajara, Mexico team. This full-time, on-site role focuses on reconciling balances, verifying payments with insurance carriers, and ensuring accurate record-keeping and confidential handling of information per HIPAA guidelines.

You will engage with carriers, manage workflows, and maintain strong client relations while upholding company procedures and a supportive work culture.

Qualifications

• Proficient with computer systems and data entry.
• Ability to learn and navigate multiple databases.
• Strong multitasking and organizational skills.
• Attention to detail and accuracy in handling records.

Responsibilities

• Reconcile balances in client system and validate credits.
• Check payment status with carriers via online tools or calls.
• Document outcomes and route accounts per procedures.
• Review correspondence and ensure proper scanning for reference.
• Maintain confidentiality per HIPAA and related regulations.
• Build professional relationships with insurance company reps.
• Support the mission and goals of our clients and Unity Communications.
• Work within specified queues and prioritize tasks as directed by supervisor.

Skills

Computer proficiency

Learn multiple databases

Multitasking

Organizational skills

Attention to detail

Flexibility

HIPAA knowledge

Red Flag regulations

Job description

Do you have a knack for navigating the complexities of insurance claims? Are you an organized and detail-oriented multitasker? A tech-savvy capable of handling multiple financial databases with high accuracy? Familiar with the ins and outs of insurance systems, policies, and procedures?

Yes? Then, be our newest Insurance Follow-up Representative! You will help address account balances and correspondence from insurance carriers. You will also be the face of our streamlined customer service.

How You Spend Your Eight Hours

• Reconcile FACS balance to the client system
• Ensure proper crediting in FACS for payments posted
• Use websites and other online resources to obtain the status of payment or denial from the insurance carrier
• When online resources are not available or do not provide the necessary information, call the insurance carrier to inquire about the status of payment or denial
• Input in FACS the outcome of the status check and decide the next step on the account based on outlined department and client-specific procedures
• Review correspondence, note accounts, and follow up as needed
• Verify that correspondence is sent to be scanned on the accounts for future reference
• Tie or untie accounts from the route to ensure they follow proper workflow
• Use appropriate work queues and reports to prioritize work efforts, as directed by the Insurance Follow-up Manager
• Maintain quality customer service
• Develop and maintain professional relationships with insurance company representatives
• Maintain confidentiality at all times by adhering to the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
• Support the mission and goals of our clients and the company

What You Must Possess

• Computer proficiency
• Ability to learn multiple databases
• Multitasking skills
• Organizational skills, attention to detail, and flexibility
• Ability to perform repeated tasks with a high level of accuracy
• Compliance with company and client-specific procedures for insurance follow-ups
• Working knowledge of HIPAA and Red Flag regulations

What You Shall Receive

• Legally mandated benefits under Mexican labor law
• Grocery vouchers (food allowance card)
• A friendly and supportive work culture
• Additional benefits and perks

What You Should Consider

• Full-time position
• Monday to Friday
• On-site work setup

Why Join Our Company

You look for a company whose senior management listens to what you are and aren’t saying and whose managers and team leads you can genuinely connect with. According to Glassdoor, 99% of the current and previous employees recommend Unity Communications to their friends, and 100% approve of its executive management. Our company is a Certified Great Place To Work that values inclusion and diversity and spreads kindness and positivity.