Insurance Follow Up Rep

CHI; Omaha (NE); On-site; USD 24,000 - 34,000; Full time

Job summary

CHI Health Clinic is seeking an Insurance Follow Up Rep to join our revenue cycle management team. You will research and resolve outstanding insurance balances and non-coding denials, ensuring accurate reimbursement for services rendered.

This role directly supports our ministry by safeguarding revenue integrity and maintaining compliance with guidelines. Every day you will perform follow-up activities via phone, online processing, fax and written correspondence, analyze EOBs/remittance advice,

Qualifications

• Minimum of two years in revenue cycle or related work.
• Strong knowledge of medical insurance, payer contracts, CPT and ICD codes.
• Excellent communication skills and professional telephone interactions.

Responsibilities

• Research and resolve outstanding insurance balances and non-coding denials.
• Engage in follow-up activities via phone, online processing, fax, and mail.
• Analyze EOBs and remittance advice to ensure proper reimbursement.
• Escalate complex cases and document actions in the billing system.

Skills

Revenue cycle

Medical insurance

Payer contracts

CPT ICD codes

Customer service

Education

High School diploma or GED

Post-high school medical billing program

Tools

Billing software

Job description

Job Summary And Responsibilities

As our Insurance Follow Up Rep, you will be a crucial asset in our revenue cycle management team, responsible for corresponding with commercial and government health insurance payers. Your primary function will be to research and resolve outstanding insurance balances and non-coding denials, ensuring correct reimbursement for services rendered. This role directly contributes to the financial health of our ministry by safeguarding revenue integrity and maintaining compliance with established guidelines.

Job Summary And Responsibilities

As our Insurance Follow Up Rep, you will be a crucial asset in our revenue cycle management team, responsible for corresponding with commercial and government health insurance payers. Your primary function will be to research and resolve outstanding insurance balances and non-coding denials, ensuring correct reimbursement for services rendered. This role directly contributes to the financial health of our ministry by safeguarding revenue integrity and maintaining compliance with established guidelines. Every day you will engage in comprehensive follow-up activities, including phone calls, online processing, fax, and written correspondence to address unpaid or underpaid claims. You'll expertly analyze Explanation of Benefits (EOBs) and remittance advices, effectively communicating with payers to explain balances and resubmit claims with necessary information. This role also involves identifying potential areas of concern or trends, proactively rectifying issues, and escalating complex cases to management, ensuring meticulous documentation of all actions in the billing system. To be successful in this insurance claims specialist role, you will need a minimum of two years of revenue cycle or related work experience, demonstrating a strong understanding of medical insurance, payer contracts, CPT, and ICD codes. Your ability to troubleshoot and adapt to diverse situations, maintain confidentiality, and exhibit excellent customer service skills, including professional telephone interactions, is paramount. We're seeking a detail-oriented, analytical thinker who can effectively prioritize tasks and thrive in a fast-paced environment, contributing to our mission of providing compassionate and efficient healthcare by ensuring proper financial follow up.

Preferred

Job Requirements

• High School GED General Studies and Two years of revenue cycle or related work experience , upon hire or
• High School Graduate General Studies and Two years of revenue cycle or related work experience , upon hire and
• Graduation from a post-high school program in medical billing or other business related field is , upon hire

Where You'll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Pay Range

$17.24 - $24.35 /hour