Insurance Follow-Up Specialist: Maximize Reimbursements

Southeast Orthopedic Specialists, LLC; Jacksonville (FL); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Monthly stipend for ancillary benefits

HSA with company match

401k plan

Employee Assistance Program (EAP)

Paid Holidays & PTO

Employee Appreciation Days/Events

Job summary

Southeast Orthopedic Specialists, LLC is hiring Insurance Follow-Up Representatives for our Central Business Office in Jacksonville, FL. The role focuses on pursuing reimbursements from insurance payors and reducing patient accounts receivable through proactive follow-up and appeals.

The ideal candidate will have at least two years of medical claims processing experience, be proficient with EOBs/denials, and possess strong computer skills (Word/Excel).

Qualifications

• Must have a minimum of two years of medical claims processing experience.
• Must be able to read and understand the Explanation of Benefits and denial reasons.
• Advanced computer knowledge, including Windows-based programs such as Word and Excel.
• Experience working with Blue Cross/Blue Shield, Commercial insurance companies, and Workman's Compensation carriers.

Responsibilities

• Review insurance denials to determine and take next steps to receive payment from the payor.
• Appeal claims that have been denied for no auth, medical necessity, etc.
• Verify receipt of claims with insurance plans to ensure timeliness of reimbursement.
• Assume full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.

Skills

Two years medical claims processing

Strong communication with payors

Attention to detail

Tools

Word

Excel

Job description

Southeast Orthopedic Specialists, LLC is hiring Insurance Follow-Up Representatives for our Central Business Office in Jacksonville, FL. The role focuses on pursuing reimbursements from insurance payors and reducing patient accounts receivable through proactive follow-up and appeals.

The ideal candidate will have at least two years of medical claims processing experience, be proficient with EOBs/denials, and possess strong computer skills (Word/Excel).