Insurance Follow-Up Rep

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 Institute team 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. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.