Insurance Follow Up Representative

The CORE Institute; Phoenix (AZ); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Monthly $43 stipend

401k plan with company match

Employee Assistance Program

Employee Appreciation Days

Employee Wellness Events

Job summary

The CORE Institute in Phoenix, Arizona is seeking a skilled Medical Biller to join their team. The position requires a minimum of two to three years of experience in medical billing and strong communication skills to engage with physicians and patients while handling account receivables efficiently.

Preferred candidates will have knowledge of ICD-10 and CPT coding, as well as experience with GE patient management systems. The company offers competitive benefits, including a monthly stipend and a 401k plan.

Qualifications

• Minimum two to three years of experience in medical billing.
• Capable of establishing good working relationships with physicians, patients, and public.
• Experience with insurance processes and proper claims handling.

Responsibilities

• Review insurance denials and determine next action steps.
• Verify patient demographic information and insurance eligibility.
• Research necessary information for the billing process.
• Communicate trends or issues to management.

Skills

Medical billing

Effective communication

Knowledge of ICD-10 and CPT coding

Using GE patient management system

Education

High School Diploma or GED

Tools

Computer systems

Job description

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

Minimum Qualifications

• 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.
• HSD/GED

Preferred Qualifications

• Knowledge of computer systems. Experience with GE patient management system.
• Knowledge of the physician billing processes, ICD-10, and CPT coding.

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.
• Obtains and attaches referrals/authorizations to appointments/charges.
• Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.
• Assumes full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.
• Analyzes account for proper claims processing and payment posting through inquiries from patients or staff.
• Identifies and communicates trends and/or potential issues to the management team.
• Follows and maintains all HOPCo policies and procedures, including those specific to billing and the Revenue Cycle.

Equal Opportunity Employer
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