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Healthcare Revenue Cycle Associate
2 months ago
Insurance Follow-up & Customer Service Representative
Facility: CHS Services
Department: Billing/Follow up
Category: Administrative / Business Support
Schedule: Full Time
Shift: Day shift
Hours: 8-4
Position Overview: Under the guidance of the Physician Revenue Realization Manager, the Insurance Follow-Up Representative plays a crucial role in managing claims status inquiries with insurance providers, rectifying and resubmitting denied claims within the EPIC billing system.
Key Responsibilities:
- Conducts follow-up on all outstanding accounts assigned, adhering to established standards and procedures.
- Identifies reasons for claim denials and initiates appeals as necessary.
- Reviews and amends any rejections arising from electronic billing submissions, ensuring claims are corrected and resubmitted promptly.
- Confirms the accuracy of patient insurance and demographic data.
- Generates invoices for services not covered by insurance.
- Investigates overpayments and takes appropriate actions to resolve discrepancies, including initiating refund requests per departmental protocols.
- Responds courteously to inquiries from patients, insurance carriers, and external agencies.
- Submits secondary claims to the appropriate payors.
Qualifications:
- High School diploma or equivalent is required.
- A minimum of 3 years of experience in Physician Billing, including insurance carrier follow-up and customer service, is essential.
- Strong understanding of medical insurance and healthcare billing processes.
- Demonstrates proficiency in accounts receivable systems and related applications.
- Effective communication skills with insurance carriers, patients, and colleagues.
- Ability to adhere to procedural guidelines and seek assistance when necessary.
At Catholic Health, we prioritize your well-being with a comprehensive compensation and benefits package that extends beyond the basics. Our offerings include multiple medical plans, life insurance, generous paid time off, flexible spending accounts, substantial tuition reimbursement, an employer-funded pension plan, and various savings plan options for your future.
