Remote Insurance Follow-Up Representative

Hollis-Cobb-Associate; United States; Remote; USD 42.000 - 64.000; Vollzeit

Benefits dieser Stelle

Remote work

Equal Opportunity Employer

Zusammenfassung

Hollis Cobb Associates is seeking an Insurance Follow-Up Representative for a fully remote role. You will verify patient coverage, submit claims, and follow up on denials across private and government payers.

The ideal candidate has 2+ years in medical billing, familiarity with HIPAA, and strong data-entry skills. A collaborative, compliant, and detail-oriented professional will thrive.

Qualifikationen

• High school diploma or equivalent required.
• 2+ years medical billing experience preferred.
• Experience with government and commercial payers required.

Aufgaben

• Verify patient insurance coverage.
• Submit claims to private and government payers.
• Follow up on pending claims and resolve denials.
• Query information on remote Medicare software.
• Learn new systems and processes to improve workflow.
• Contact insurers or patients to gather needed information for appeals.
• Maintain HIPAA and other regulatory compliance.
• Adapt to feedback aimed at performance improvement.
• Enter/update benefit information accurately into databases.
• Meet department production standards.

Kenntnisse

Insurance terminology

Microsoft Word

Excel

HIPAA compliance

Data entry 25 wpm

Verbal & written communication

Attention to detail

Multi-tasking

Ausbildung

High school diploma or equivalent

2+ years medical billing experience

Experience with government and commercial payers

Tools

STAR

EPIC

Jobbeschreibung

All Jobs > Remote Insurance Follow-Up Representative

Remote Insurance Follow-Up Representative
Fully Remote Remote Worker - N/A

Description

The Insurance Verification Representative is responsible for researching and updating the insurance information, commercial and government, within various databases with the current benefit status for each patient. Information can be obtained electronically or by direct communication with the insurance companies

Requirements

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Responsible for verifying patient insurance coverage
• Responsible for taking data provided and submitting claims to various private and government sponsored insurance companies
• Follow up with pending claims and work denials for all payers
• Query information on remote Medicare software
• Learn new systems and process solutions as they present themselves to ensure proper assignment and workflow
• Contacts insurance companies/payers or patients to gather information necessary to complete appeal processing
• Remain compliant with our policies, process and legal guidelines
• Will need to be open to ongoing feedback and coaching aimed at improving performance
• Remain compliant with HIPPA and other State and Federal regulations
• Entering and/or updating the benefit information in an accurate manner into the various databases
• Adhere to the production standards set for the department and client
• Accuracy and confidentiality in handling medical records in compliance with HIPPA, Federal, State and Company requirements
• Other duties as assigned by manager

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION & EXPERIENCE

• A high school diploma or equivalent is required
• 2 or more years of experience within the medical industry is preferred
• 2 or more years of experience in medical billing required
• Experience working with both government and commercial payers required

KNOWLEDGE, SKILLS, & ABILITIES

• Knowledge of insurance terminology and processes
• Intermediate to advanced proficiency in computer skills using Microsoft Word and Excel software
• Knowledge and skill navigating insurance portals for online benefit review ? Medical system platform experience with STAR, EPIC, etc.
• Ability to multi-task in a fast-paced environment
• Excellent verbal, written and communication skills
• Strong analytical/problem solving skills
• High attention to detail
• Ability to read and understand a variety of information presented in different formats from a variety of sources
• Must be able to type a minimum of 25 wpm

PHYSICAL REQUIREMENTS

While performing the duties of this job, the employee is occasionally required to stand or walk and lift and/or move up to 25 pounds. Also may be required to use hands to finger, handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel or crouch or crawl; see, talk and hear.

WORK ENVIRONMENT

Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Incumbent/employee works in a temperature-controlled office environment or a Work from Home office environment. Incumbent/employee must be able to work on a computer for the scheduled shift; answers and makes telephone calls using a standard or computer soft telephone; types on a standard keyboard; reads and comprehends information from a computer terminal and/or written resources and utilizes multiple screens and systems simultaneously. All incumbents/employees are provided a Webcam and are required to be on camera 100% of the time during the scheduled shift.

Hollis Cobb Associates is an Equal Opportunity Employer