INSURANCE REP

Arkansas Central Primary Care PLLC; Jacksonville (AR); On-site; USD 32,000 - 46,000; Full time

Job summary

Arkansas Central Primary Care PLLC is seeking an Insurance Claims Specialist to perform follow up and research on insurance accounts, advocate for patients and physicians regarding balances and payment plans, and to coordinate with insurers before appointments as needed.

The role requires strong customer service, 3 years of billing experience, and solid computer skills, with the ability to manage communications with insurers and patients effectively.

Qualifications

• High School or GED required.
• 3 years Medical Billing and Coding experience.
• Excellent customer service skills.
• 2 years computer experience.

Responsibilities

• Follow up and research insurance accounts receivable (A/R).
• Advocate for physician/patient regarding account balances and payment arrangements.
• Contact insurance companies regarding wellness benefits prior to appointments when requested.
• Document accounts with payment arrangements for reference and collections.

Skills

Customer service

Education

High School diploma or GED

3 years Medical Billing and Coding

Tools

Computer literacy

Job description

Description

JOB SUMMARY: Insurance claim follow up and research. Physician/Patient advocate regarding account balances and payment arrangements. Contacting insurance companies in reference to patient's wellness benefits prior to appointment when requested by a physician prior to patient's appointment. Make
documentation on patient's accounts regarding payment arrangements.

KEY RESPONSIBILITIES: Insurance Representatives are each responsible for the insurance follow up and research for our physicians.

Each Representative is responsible for:

• Timely follow up on insurance A/R

1. Insurance A/R- Medicare, Medicaid, Blue Cross, United Health, Commercial

2. Patient A/R- Private Pay, Patient balance after insurance responsibility is satisfied

• Coordinate with scheduling for payment arrangements and blocked accounts.
• Coordinate with Patient Support Representative with questions about insurance coverage to assist patient.
• Review and prep accounts for collection agency
• Work clearinghouse rejected invoices (for DOB, Name, Coverage)
• Telephone work with patient regarding account questions or issues.
• Work incoming communication from insurance/patients.

DISCLAIMER: This is only a summary of the typical functions of the job, not an exhaustive or comprehensive list of all job responsibilities, task, and duties. Responsibilities, task, and duties of the jobholder might differ from those outlined in the job description and those other duties, as assigned, might be part of the job.

Requirements

MINIMUM JOB REQUIREMENTS: High School or GED. 3 years Medical Billing and Coding. Excellent Customer Service Skills. 2 years Computer Experience.

PHYSICAL REQUIREMENTS: Must be able to lift 10 lbs., sitting for extended periods of time.