Insurance Follow Up Rep

Commonspirit; Chattanooga (TN); On-site; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a dedicated Insurance Follow Up Representative to ensure timely reimbursement for services rendered. This role involves researching unpaid insurance accounts, identifying trends in denials, and maintaining meticulous documentation in compliance with regulations. The ideal candidate will possess strong customer service skills and a keen attention to detail, contributing to a supportive environment focused on patient experience. Join a team that values work/life balance and offers a range of benefits, including health insurance and tuition assistance. If you are passionate about making a difference in healthcare, this opportunity is for you.

Benefits

Free Membership to Care@Work

Employee Assistance Program (EAP)

Health/Dental/Vision Insurance

Flexible spending accounts

Voluntary Protection

Adoption Assistance

Paid Time Off (PTO)

Tuition Assistance

Matching Retirement Programs

Wellness Program

Qualifications

• Knowledge of insurance follow-up processes and clinic operations.
• Excellent customer service skills and attention to detail.

Responsibilities

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

Skills

Insurance follow-up process

Customer service

Attention to detail

Medical terminology

Education

High School Diploma or GED

Post-high school program in medical billing

Job description

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Responsibilities

• Follow up with insurance payers to research and resolve unpaid insurance accounts receivable; make necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers.
• Identify potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and report to supervisory staff for appropriate escalation.
• Document all activities and findings in accordance with established policies and procedures; ensure the integrity of all account documentation; maintain confidentiality of medical records.
• Maintain current knowledge of internal, industry, and government regulations as applicable to assigned function.
• Establish and maintain professional and effective relationships with peers and other stakeholders.

Expectations

• Follow up with insurance payers to research and resolve unpaid insurance accounts receivable; make necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers.
• Identify potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and report to supervisory staff for appropriate escalation.
• Document all activities and findings in accordance with established policies and procedures; ensure the integrity of all account documentation; maintain confidentiality of medical records.
• Maintain current knowledge of internal, industry, and government regulations as applicable to assigned function.
• Establish and maintain 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 contract, and basic medical terminology and abbreviations, regulatory/reporting requirements.
• Excellent customer service, attention to detail, and ability to maintain confidentiality of medical records.

Preferred Qualifications

• Two years of revenue cycle or related work experience demonstrating 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, part of CommonSpirit Health, provides comprehensive office management services for Memorial Health Partners and physicians in private practice. We are committed to employee well-being with benefits supporting work/life balance, including:

• Free Membership to Care@Work
• Employee Assistance Program (EAP)
• Health/Dental/Vision Insurance
• Flexible spending accounts
• Voluntary Protection
• Adoption Assistance
• Paid Time Off (PTO)
• Tuition Assistance
• Matching Retirement Programs
• Wellness Program

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

Pay Range

$15.49 - $21.30 /hour