Insurance Rep - FT - Days

Vitruvian-Health; Dalton (GA); On-site; USD 38,000 - 52,000; Full time

Job summary

Vitruvian Health in Dalton, GA is seeking a detail‑oriented Insurance Claims Clerk to process and follow up on medical claims. You will use Soarian Financials and ePremis to ensure accurate submission and timely payment from payers.

Responsibilities include daily claim transmissions, denial research, and generating activity reports. Strong communication and organization are essential to support patient accounts and maintain efficient workflows.

Qualifications

• High school diploma required; college courses preferred.
• HFMA CPAR certification preferred.
• Experience in hospital or physician practice billing is desirable.

Responsibilities

• Submit and follow up on primary and secondary claims with third party payers.
• Review and correct claims in Soarian Financials and ePremis systems.
• Transmit claims daily via the ePremis system.
• Monitor outstanding submitted claims to ensure prompt payment.
• Follow up with insurance carriers through websites and calls to obtain payments.
• Prepare daily activity reports and reconcile data.
• Interface with customers/vendors to coordinate services and maintain relationships.
• Identify and resolve missing information and denial trends.

Skills

Communication

Problem solving

Prioritization

Math basics

MS Office

Education

High school diploma

HFMA CPAR certification

Tools

Soarian Financials

ePremis

Job description

Who We AreAt Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well‑being of every team member.Our LegacyFormerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region—including Hamilton Medical Center and Bradley Medical Center—you’ll have the opportunity to be part of something bigger: a connected, mission‑driven team making a difference every day.Our ValuesOur core values— Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE) —guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission.Your Career With UsJoin us and build a meaningful career where you’re valued, inspired, and supported to make a real impact.Excellence. Every person. Every time.JOB SUMMARYWorks under direct supervision of the Patient Accounts Manager and follows written policies and procedures to perform the job duties. Performs basic administrative job duties relating to submitting claims and following up with third party payers for both primary and secondary claims. Responsible for reviewing and correcting all claims edits in both the Soarian Financials and the ePremis systems. Transmits accurate claims daily via the ePremis electronic claims system. Monitors all outstanding submitted claims to ensure prompt payment. Follows up with insurance carriers via websites and occasionally telephone calls to obtain payment as quickly as possible. Completes required daily activity reporting, this includes but is not limited to verifying claims data, report reconciliation, account database maintenance, file maintenance, etc. Interfaces with customers/vendors, establishes and maintains positive business relationships internally and externally to ensure effective & efficient coordination of services to promote individual and departmental goals. Ensures the accuracy and timeliness of all claims submission. Provides support to team members. Works reports and worklists including denial management reports and the EBEW to correct errors or identify and resolve missing information. Must have the ability to learn, follow oral and documented instructions and/or apply general knowledge of the CBO’s department procedures, practices, standards, etc. Resolves routine questions and problems and refers more complex issues to higher levels. Performs additional duties as assigned in a courteous and professional manner.JOB QUALIFICATIONSEducation: Completion of a high school diploma required. College level courses preferred.Licensure: HFMA CPAR certification preferred.Experience: Perfer experience in a same or similar position in a hospital or physician practice is desirable.Insurance Representatives will have 0-5 years experience in insurance claims billing and follow-up at Hamilton Medical Center.Skills: Excellent oral and written communication skills in order to effectively interact with internal and external customers. Job duties and tasks are frequently non-routine which requires logical problem solving ability. Ability to interpret and follow oral and written instructions, policies, guidelines and standards. Ability to use good judgment in the absence of formal guidelines, policies or procedures. Ability to prioritize and manage time effectively. Working knowledge of medical A/R software programs and intermediate PC skills including Microsoft Outlook, Word and Excel . Must be detail oriented and able to demonstrate competence in basic math concepts.PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONSNormal business office environment. Constant sitting and limited freedom of movement. High pressure environment due to large volumes and claims filing and follow up dead lines.