Medical Insurance Follow-Up Specialist

HOPCo; Phoenix (AZ); Vor Ort; USD 42.000 - 64.000; Vollzeit

Benefits dieser Stelle

Health benefits

Benefit stipend

HSA with match

401k match

EAP 24/7

Appreciation days

Wellness events

Zusammenfassung

The CORE Institute in Phoenix, AZ is seeking an Insurance Follow-Up Representative to support billing operations and drive timely reimbursements. You will review denials, verify eligibility, and coordinate with providers, staff, and patients to resolve claims efficiently.

The role requires two to three years of medical billing experience, knowledge of ICD-10 and CPT coding, and strong communication skills. Join a healthcare team committed to excellent patient care and collaborative problem

Qualifikationen

• High school diploma/GED or equivalent working knowledge preferred.
• Minimum two to three years of experience in medical billing.
• Must 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.

Aufgaben

• 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.

Kenntnisse

Communication

Medical billing

ICD-10/CPT coding

Interpersonal skills

Computer literacy

Ausbildung

High school diploma/GED

Tools

GE patient management system

Jobbeschreibung

AtCORE, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:

• 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.

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.

The CORE Instituteteam is dedicated to making the lives of others better by practicing exceptional patient care. If you would like to be part of a dedicated, dynamic healthcare team in a challenging, rewarding environment, The CORE Institute is the right place for you to grow your career.

#CORE

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