Remote Insurance Follow-up Representative
2 days ago
Job Description Summary:
The Insurance Account Representative owns a portfolio of accounts within Excalibur's Client Partner's Government, Non-Government, TPL or Worker's Compensation Accounts Receivable.
This position is responsible for the rapid, compliant and patient-centric resolution of balances and the maximization of Excalibur's Client Partner's financial performance.
Key Tasks and Deliverables:
The Insurance Account Representative performs the following key tasks and is responsible for the following key deliverables:
- Whether via website, portal or phone call, performs follow up with an aim towards the collection and resolution of assigned insurance balances.
- Leverages understanding of managed care contracts, Payer behaviors and clean claim statutes to influence the intent of the Payer and overcome objections or delays to payment.
- Understands expected reimbursement on assigned Payer (s); identifies and attempts to resolve and prevent payment discrepancies.
- Submits/Re-submits UB-04, 1500 and/or other applicable Claim forms; accurately populating each field locator and attaching all associated documentation (to include Itemized Statements, Medical Records etc) where the Billing/Re-Billing function is assigned to Excalibur.
- Works with Payers and Patients to resolve coverage, coordination of benefits and authorization issues that may impact resolution of a claim.
- Manages printing and mailing Claims.
- Consistently documents all Payer and Patient encounters in Hospital's source system and/or Excalibur's workflow solution.
Skill Sets and Experience:
The Insurance Account Representative must be able to demonstrate an ongoing command of the following:
- Components of the UB-04 and CMS 1500 forms.
- Thorough content knowledge of all Client Policy Statements, Procedures, Process Maps and other documentation.
- Patient-Centric Customer Service.
- Multi-system toggling and organizational efficiency.
- Documentation, written and verbal communication.
Additional Requirements or Preferred Experience Include:
- Proficiency in Microsoft Office Products including Word, PowerPoint and Excel.
- Understanding of Gov't and Non Gov't Payers.
- HIPAA and related Privacy and Security Acts and Regulations.
- Excellent Communication Skills and an ability to connect with leaders and staff.
- Team Player.
- Passion for Healthcare and Follow Up.
Education:
- High School Diploma or equivalent is required for this position.
Job Type: Full-time
Pay: $ $23.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: Remote
-
Remote Life Insurance Representative
2 days ago
Remote, Oregon, United States Mamta Education Skills Pvt Ltd Full timeJob Title: Remote Life Insurance Representative (Entry Level)Location: Remote – United StatesEmployment Type: Full-TimePosition SummaryThe Life Insurance Representative will support clients throughout the life insurance application process by providing guidance, managing documentation, and ensuring consistent and professional communication. This role...
-
Remote, Oregon, United States Credit Solutions LLC Full timeJoin our dynamic team of Health Insurance Billing Follow Up Specialist and find out why our employees voted us the "Best Call Centers to Work For" 4 years in a row Hear what employees are saying about Credit Solutions: "I've always felt valued as an employee while maintaining a great relationship with upper management and fellow coworkers. I am grateful and...
-
Remote Insurance Agent
1 week ago
Remote, Oregon, United States Jane Insurance and Financial Services Full timeWe are seeking motivated individuals to join our remote insurance services team. This role focuses on client education, virtual communication, and professional development within the life insurance industry.No prior insurance experience is required. Structured training and ongoing mentorship are provided to support role readiness and...
-
Virtual Insurance Representative
4 days ago
Remote, Oregon, United States Infoway Solutions LLC Full timeJob Title: Virtual Insurance Representative (Entry Level)Location: Remote – United StatesJob Type: Full-TimePosition Overview Join our growing team as an Insurance Representative This position is ideal for individuals who are detail-oriented and eager to begin a meaningful career in insurance. You'll assist clients with their policy needs, guide them...
-
Insurance Sales Professional
2 weeks ago
Remote, Oregon, United States Allstate Insurance Full timeWant to sell to a captive audience items they need by law?Allstate Insurance is looking to hire highly-motivated Licensed AgentsAs a Licensed Insurance Sales Agent, your primary responsibility is to achieve agency growth, retention and sales goals. You will help grow the agency by engaging new prospects and building strong relationships within the community....
-
Licensed Insurance Sales Agent
5 days ago
Remote, Oregon, United States Sanders Insurance Agency Full timeJob SummaryThe Saunders Insurance Agency is hiring a Sales Producer to join our growing teamWe have two insurance agencies and are looking to grow our Sales Team We provide Auto, Home, other personal insurance and Life insurance to help protect our clients and their assets. If you want to be part of a winning team and team culture, then this may be the...
-
Remote Insurance Agent
2 weeks ago
Remote, Oregon, United States Infoway Solutions LLC Full timeJob Role: Remote Insurance Agent (Entry Level)Job Location: Remote – United StatesJob Type: Full-TimeOverviewWe're seeking motivated and customer-focused individuals to join our team as Insurance Agents. In this position, you'll help clients understand their insurance options, assist with applications, and provide exceptional service.Job...
-
Remote Support Representative
5 days ago
Remote, Oregon, United States ProLC Groups Full timeJob OverviewWe are looking for a Remote Support Representative to assist customers with basic service questions, account updates, and general inquiries. This role is fully remote and centered on clear communication, problem solving, and consistent service. No previous experience is required.ResponsibilitiesRespond to customer inquiries through chat, email,...
-
Remote, Oregon, United States Humana Full timeBecome a part of our caring community and help us put health firstThe IHWA Follow-up Senior Program Delivery Professional provides daily operational support to programs that impact members' lives by promoting preventive health activities. The IHWA Follow-up Senior Program Delivery Professional works on problems of diverse scope and complexity ranging from...
-
Remote, Oregon, United States Allstate Insurance Full time***Must have an Active P&C License**We provide professional sales training for ongoing improvement - You'll have all the support you need to be the best insurance agent possibleThis opportunity is unlike any other. We provide the leads and telemarketers to assist you with getting a ton of quotes every day. We just need you to close the deals and we all make...
