Insurance Follow Up Rep

CHI; Chattanooga (TN); Remote; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare organization in Southeast Tennessee is seeking a dedicated professional for a role in revenue cycle management. The position involves following up on insurance claims, maintaining medical records, and ensuring compliance with regulations. The ideal candidate will have strong customer service skills and a background in medical billing, contributing to the enhancement of patient experiences.

Benefits

Free Care@Work program for dependent care

Employee Assistance Program (EAP)

Health/Dental/Vision Insurance

Flexible spending accounts

Voluntary protections (Accident, Critical Illness, Identity Theft)

Adoption Assistance

Paid Time Off (PTO)

Tuition Assistance

Matching Retirement Programs

Wellness Program

Qualifications

• Knowledge of insurance follow-up processes, clinic operations, and medical terminology.
• Two years of revenue cycle or related experience preferred.

Responsibilities

• Follows up with insurance payers to resolve unpaid accounts receivable.
• Documents activities and maintains confidentiality of medical records.
• Identifies trends in denials and reports to supervisory staff.

Skills

Customer service skills

Attention to detail

Confidentiality

Education

High School Diploma or GED

Graduation from a post-high school program in medical billing or 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, denial reason, or coding issue and reports to supervisory staff for escalation.
• Documents all activities and findings in accordance with policies and procedures; maintains the integrity and confidentiality of medical records.
• Maintains current knowledge of internal, industry, and government regulations relevant to the role.
• Establishes and maintains professional relationships with peers and stakeholders.

Qualifications

Minimum Qualifications:

• High School Diploma or GED
• Knowledge of insurance follow-up processes, clinic operations, medical insurance, payer contracts, basic medical terminology, and regulatory requirements.
• Excellent customer service skills, attention to detail, and ability to maintain confidentiality of medical records.

Preferred Qualifications:

• Two years of revenue cycle or related experience demonstrating requisite knowledge and abilities.
• Graduation from a post-high school program in medical billing or related field.

#Remotework

Overview

CHI Memorial Mountain Management

CHI Memorial Medical Group (Mountain Management Services), part of CommonSpirit Health, is a Management Service Organization providing comprehensive office management services for Memorial Health Partners and private practitioners. We are committed to regional healthcare excellence in Southeast Tennessee and North Georgia.

We prioritize employee well-being and offer benefits supporting work/life balance, including:

• Free Care@Work program for child, pet, or adult dependent care
• Employee Assistance Program (EAP)
• Health/Dental/Vision Insurance
• Flexible spending accounts
• Voluntary protections (Accident, Critical Illness, Identity Theft)
• Adoption Assistance
• Paid Time Off (PTO)
• Tuition Assistance
• Matching Retirement Programs
• Wellness Program

If you are dedicated to enhancing the patient experience and want to be part of our recognized hospital, connect with us today!