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Insurance Claims Specialist II

2 months ago

Pensacola, Florida, United States Baptist Health Care Full time
Job Summary

The Insurance Follow Up Representative II is responsible for ensuring accurate and timely insurance payment and follow-up for patient accounts. This role involves examining, correcting, and updating patient health information to ensure accurate insurance payment and applying appropriate contractual allowances.

Key Responsibilities

• Resolves patient and insurance carrier inquiries in a timely manner to avoid increasing A/R days.
• Verifies eligibility and benefits using online systems provided by multiple payers and checks claim status accordingly.
• Makes telephone calls to the payer to ensure receipt of claims filing and payment on submitted claims.
• Maintains accurate and consistent documentation on accounts worked using the accounts receivables work listing or patient accounting system.
• Identifies non-payment trends by payer and notifies management with potential solutions.
• Applies proper account management principles to ensure accurate follow-up.

Qualifications

The ideal candidate will possess a Certified Revenue Cycle Specialist (CRCS) or Certified Healthcare Access Associate (CHAA) certification. Baptist Health Care is a not-for-profit healthcare system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. With a team of over 4,000 members, we are one of the largest non-governmental employers in the region.