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Medical Billing Representative

3 months ago


Chattanooga, United States Insight Global Full time

Position Title: Insurance Follow Up Representative

Location: Chattanooga, TN

Duration: Direct Hire, Full Time

Compensation: $15-$20/Hour

Openings: 5 Open


Position Overview: We are seeking a diligent and detail-oriented Insurance Follow-Up Representative to join our team. This role is crucial in ensuring that our healthcare providers receive appropriate reimbursement for services rendered. The ideal candidate will have a strong understanding of the insurance follow-up process, excellent customer service skills, and the ability to maintain confidentiality of medical records.

Responsibilities:

  • Follow up with insurance payers to research and resolve unpaid insurance accounts receivable.
  • Make necessary corrections in the practice management system to ensure appropriate reimbursement for all FMG providers.
  • Identify potential trends in denials or reimbursement issues by payer, type, denial reason, or coding issue, and report to supervisory staff for escalation.
  • Document all activities and findings in accordance with established policies and procedures, ensuring the integrity of all account documentation.
  • Maintain confidentiality of medical records.
  • Stay current with internal, industry, and government regulations relevant to the assigned function.
  • Establish and maintain professional and effective relationships with peers and other stakeholders.

Qualifications:

Minimum Qualifications:

  • High School Diploma or GED equivalent.
  • Knowledge of the insurance follow-up process, clinic operations, general office principles, medical insurance, payer contracts, and basic medical terminology and abbreviations.
  • Understanding of regulatory and reporting requirements.
  • Excellent customer service skills, attention to detail, and the ability to maintain confidentiality of medical records.

Preferred Qualifications:

  • Two years of revenue cycle or related work experience demonstrating the requisite job knowledge and abilities.
  • Graduation from a post-high school program in medical billing or another business-related field.