Insurance Follow Up Rep

CommonSpirit Health; Chattanooga (TN); On-site; USD 35,000 - 55,000; Full time

Job summary

Join a forward-thinking healthcare organization that values your well-being and work/life balance. This role involves managing insurance follow-ups, ensuring accurate reimbursement for services rendered, and maintaining the integrity of medical records. You'll play a crucial part in supporting the patient experience while working in a collaborative environment. With a focus on professional development, this position offers opportunities for career growth and a chance to make a real impact in the community. If you are detail-oriented and passionate about healthcare, this is the perfect opportunity for you.

Benefits

Free Membership to Care@Work program

Employee Assistance Program (EAP)

Health/Dental/Vision Insurance

Flexible Spending Accounts

Voluntary Protection Programs

Adoption Assistance

Paid Time Off (PTO)

Tuition Assistance

Matching Retirement Programs

Wellness Program

Qualifications

• Knowledge of insurance follow-up, clinic operations, and medical terminology is essential.
• Customer service skills and attention to detail are crucial for maintaining confidentiality.

Responsibilities

• Follow up with insurance payers to resolve unpaid accounts and ensure reimbursement.
• Document activities and maintain confidentiality of medical records.

Skills

Customer Service

Attention to Detail

Medical Terminology

Insurance Follow-Up Process

Education

High School Diploma or GED

Post-High School Program in Medical Billing

Job description

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:

1. Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs
2. Employee Assistance Program (EAP) for you and your family
3. Health/Dental/Vision Insurance
4. Flexible spending accounts
5. Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
6. Adoption Assistance
7. Paid Time Off (PTO)
8. Tuition Assistance for career growth and development
9. Matching Retirement Programs
10. Wellness Program

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

Responsibilities

Expectations:

1. 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.
2. Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.
3. Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.
4. Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function.
5. Establishes and maintains professional and effective relationships with peers and other stakeholders.

Qualifications

Minimum Qualifications:

1. High School Diploma or GED equivalent
2. Knowledge of insurance follow-up process, clinic operations, general office principles, medical insurance, payer contracts, and basic medical terminology and abbreviations, regulatory/reporting requirements
3. Excellent customer service, attention to detail, and the ability to maintain confidentiality of medical records

Preferred Qualifications:

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