Insurance Follow-up
4 weeks ago
**Insurance Follow-up & Customer Service Representative**
**Facility:** CHS Services **Location:** Melville, NY **Department:** Billing/Follow up **Category:** Administrative / Business Support **Schedule:** Full Time **Shift:** Day shift **Hours:** 8-4 **ReqNum:** 6041619 Under the direction of the Physician Revenue Realization Manager, the Insurance Follow-Up Representative is responsible for investigating claims status with insurance carriers, correcting and resubmitting denied claims in the EPIC billing system.
**Responsibilities:**
* Performs follow up on all outstanding accounts assigned in accordance with established standards and procedures.
* Determines reason for denial and appeals accounts as necessary.
* Reviews and edits any rejections stemming from electronic billing submissions and corrects and resubmits claims.
* Verifies accuracy of patient insurance and demographic information.
* Generates bills to patients for services not covered by insurance.
* Investigates over-payments and takes appropriate action to resolve. Initiates refund requests in accordance with departmental procedures.
* Responds to requests for information and telephone inquiries from patients, insurance carriers, and outside agencies in a courteous manner.
* Send secondary claims to appropriate payors.
**Requirements:**
* High School diploma or equivalent required.
* Minimum of 3 years of Physician Billing experience, including insurance carrier follow up and customer service, required.
* Strong knowledge of medical insurance and healthcare billing
* Establishes and demonstrates competency in accounts receivable systems and associated applications
* Ability to communicate effectively with insurance carriers, patients, and co-workers
* Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm.
At Catholic Health your well-being comes first, with comprehensive compensation and benefits; our offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and flexible spending accounts, we also offer substantial tuition reimbursement, an employer funded pension plan and several savings plan options for your future.
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