Insurance Follow-Up Rep

Healthcare Outcomes Performance Co. (HOPCo); Phoenix (AZ); Presencial; USD 42.000 - 54.000; A tiempo parcial

Ventajas ofrecidas por este puesto de trabajo

Competitive Health & Welfare Benefits

Monthly $43 stipend toward ancillary福利

HSA with company match

401k with company match after 6 months

Employee Assistance Program 24/7

Employee Appreciation Days

Employee Wellness Events

Descripción de la vacante

Healthcare Outcomes Performance Co. (HOPCo) is seeking an Insurance Follow-Up Rep to facilitate insurance billing and collection activities through payer communication and claims processing to ensure reimbursement for the practice.

The role requires 2–3 years of medical billing experience, knowledge of ICD-10 and CPT coding, and strong communication with doctors, patients, and external customers. This on-site position offers competitive benefits and growth opportunities.

Formación

• High school diploma or GED preferred.
• 2–3 years of medical billing experience.
• Ability to communicate effectively with physicians, patients, and the public.
• Knowledge of physician billing processes, ICD-10 and CPT coding.
• Knowledge of computer systems; GE patient management system preferred.

Responsabilidades

• Reviews insurance denials and rejections to determine next steps and obtain information to resolve denials.
• Verifies patient demographics and insurance eligibility including coordination of benefits; updates as needed for claims processing.
• Verifies receipt of claim with insurance plans and timelines for reimbursement.
• Researches information needed to complete billing, coordinating with providers, staff and patients.
• Assumes responsibility for reducing accounts receivable by working through outstanding balances.

Conocimientos

Medical billing

Communication

Accounts receivable

Educación

High school diploma/GED

Herramientas

GE patient management system

Descripción del empleo

Position Overview

The Insurance Follow-Up Rep is responsible for the facilitation of insurance billing and collection activities, following patient accounts through the billing process to the payor, working with the payor through claims processing, ensuring reimbursement to the practice.

Benefits

• Competitive Health & Welfare Benefits
• Monthly $43 stipend to use toward ancillary benefits
• HSA with qualifying HDHP plans with company match
• 401k plan after 6 months of service with company match (Part-time employees included)
• Employee Assistance Program that is available 24/7 to provide support
• Employee Appreciation Days
• Employee Wellness Events

Qualifications

• High school diploma/GED or equivalent working knowledge preferred.
• Minimum two to three years of experience in medical billing.
• Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
• Knowledge of the physician billing processes, ICD-10, and CPT coding.
• Knowledge of computer systems. Experience with GE patient management system preferred.

Essential Functions

• Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
• Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
• Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
• Assumes full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.