Insurance Follow Up Rep

CHI; Omaha (NE); On-site; USD 60,000 - 80,000; Full time

Job summary

A forward-thinking company is seeking an Insurance Follow Up Representative to join their dedicated team. This role involves effectively communicating with insurance payers to resolve outstanding balances and denials, ensuring that all actions are documented accurately. The ideal candidate will have a strong understanding of healthcare concepts and medical billing practices, along with excellent communication and customer service skills. Join an organization that values your well-being and offers a supportive environment for career growth and development, making a meaningful impact in the healthcare industry.

Benefits

Health/Dental/Vision Insurance

Direct Primary Plan

Tuition Assistance

Paid Time Off

Employee Assistance Program

Matching 401(k) Retirement Programs

Wellness Programs

Qualifications

• Knowledge of healthcare policies and standards relevant to the role.
• Understanding of medical insurance and payer contracts.

Responsibilities

• Communicate with insurance payers to resolve outstanding balances.
• Interpret EOBs and remittance advices for correct payments.
• Document all actions in the billing system accurately.

Skills

Healthcare concepts knowledge

Medical insurance understanding

CPT and ICD codes knowledge

Data entry skills

Communication skills

Troubleshooting skills

Attention to detail

Customer service skills

Education

High School Diploma

Post-high school training in medical billing

Tools

Automated billing systems

Job description

Join to apply for the Insurance Follow Up Rep role at CHI.

Overview

CHI Health strives to care for you the way you care for your patients. We understand you have personal responsibilities outside of your profession and also care about your well-being.

Benefits include:

• Health/Dental/Vision Insurance
• Direct Primary Plan (No copay, no deductible, and access to CHI Health provider 24/7)
• Premium Access to our Family Care Program supporting your needs for childcare, pet care, and/or adult dependent care
• Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
• Employee Assistance Program (EAP) for you and your family
• Paid Time Off (PTO)
• Tuition Assistance for career growth and development
• Matching 401(k) and 457(b) Retirement Programs
• Adoption Assistance
• Wellness Programs
• Flexible spending accounts

CHI Health Clinic offers primary to specialty care, walk-in, and virtual services with over 20 specialties and 100 locations, some with extended hours.

Responsibilities

The Insurance Follow Up Rep is responsible for communicating with commercial and government health insurance payers to resolve outstanding balances and non-coding denials. Activities include phone calls, online processing, fax, and written correspondence, utilizing work queues for efficiency, reviewing remittance advices, researching denial reasons, and resolving issues through appeals.

• Follow-up with insurance payers to research and resolve unpaid accounts; correct entries in the system to ensure proper reimbursement.
• Interpret Explanation of Benefits (EOBs) and remittance advices to verify correct payments.
• Communicate effectively to explain outstanding balances, denials, or underpayments, supported by EOBs and payer requirements.
• Resubmit claims with necessary information as requested.
• Identify trends and conduct staff training to address common issues.
• Escalate complex issues appropriately.
• Organize accounts by denial type or payer for bulk resolution.
• Document all actions in the billing system accurately.
• Perform other duties as assigned.

Qualifications

Required Minimum Knowledge, Skills, and Abilities:

• Knowledge of healthcare concepts, policies, standards, and practices relevant to the role.
• Understanding of medical insurance, payer contracts, CPT, and ICD codes.
• Familiarity with regulatory/reporting requirements.
• Proficiency with automated systems related to the function.
• Ability to interpret insurance reimbursement terms and remittance advice details.
• Accurate data entry skills.
• Ability to stay updated on industry trends and regulations.
• Strong troubleshooting and communication skills.
• Discretion and confidentiality in handling sensitive information.
• Attention to detail and critical thinking.
• Effective prioritization and time management.
• Excellent customer service skills.
• Proficiency in English reading, understanding, and communication.
• Ability to establish effective working relationships.

PREFERRED Qualifications include a High School Diploma or equivalent, post-high school training in medical billing or related fields, and two years of revenue cycle experience.

Pay Range: $16.26 - $22.36/hour