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

Unity Communications; Región Centro; On-site; MXN 180,000 - 300,000; Full time

Benefits offered by this job

Grocery vouchers

Friendly work culture

Additional benefits

Job summary

Unity Communications is seeking an Insurance Follow-up Representative to manage account balances and correspondence from insurance carriers. The role emphasizes accuracy, HIPAA compliance, and professional interaction with carriers while supporting a streamlined customer service experience.

The position requires handling multiple databases, reconciling FACS balances, and prioritizing tasks using department procedures to ensure timely, accurate follow-up in a full-time, on-site environment in

Qualifications

• Proficient with computers and multiple databases.
• Able to multitask with high accuracy and attention to detail.
• Follow procedures for insurance follow-ups and HIPAA rules.

Responsibilities

• Reconcile FACS balance to client system.
• Ensure proper crediting in FACS for payments posted.
• Use online resources to check payment status with carriers.
• Call carriers when online status is unavailable to inquire about payments or denials.
• Input outcomes into FACS and determine next steps per procedures.
• Review correspondence and note accounts for follow-up.
• Ensure correspondence is scanned for future reference.
• Tie/untie accounts to correct workflow and prioritize tasks.
• Maintain professional relationships with insurance company representatives.
• Ensure HIPAA compliance at all times.

Skills

Computer proficiency

Learn multiple databases

Multitasking

Organizational skills

Attention to detail

Procedural compliance

HIPAA knowledge

Tools

FACS system

Insurance carrier portals

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.