Insurance Follow Up Rep

Community Health at Home; Chattanooga (TN); Remote; USD 40,000 - 55,000; Full time

Job summary

Une organisation de services de santé reconnue cherche un spécialiste du cycle de revenus pour rejoindre son équipe. Le candidat idéal devra posséder un diplôme d'études secondaires et avoir une bonne connaissance des opérations de bureaux médicaux et des contrats d'assurances. Des compétences en service client et une attention particulière aux détails sont essentielles pour ce poste. Rejoignez-nous pour contribuer à l'expérience patient dans un environnement de soutien.

Benefits

Free Membership to Care@Work program

Employee Assistance Program (EAP)

Health Insurance

Dental Insurance

Vision Insurance

Flexible spending accounts

Adoption Assistance

Tuition Assistance for career growth

Paid Time Off (PTO)

Matching Retirement Programs

Qualifications

• Connaissance du processus de suivi des assurances et des opérations cliniques.
• Excellentes compétences en service client et capacité à maintenir la confidentialité.
• Deux ans d'expérience en cycle de revenus ou domaine connexe préférés.

Responsibilities

• Suivre avec les payeurs d'assurance pour résoudre les comptes clients impayés.
• Identifier les tendances dans les refus de paiement et les signaler.
• Documenter toutes les activités et respecter les politiques de confidentialité.

Skills

Customer Service

Attention to Detail

Medical Terminology

Education

High School Diploma or GED equivalent

Graduation from a post-high school program in medical billing or business-related field

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 to ensure 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 functions.
• 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 contracts, and basic medical terminology and abbreviations, regulatory/reporting requirements

•Excellent customer service, attention to detail, and the ability to maintain confidentiality 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 support 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!