Insurance Follow-Up Representative

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🕒 Abril 21

🐊 Florida – Remoto

🐊 Florida – Remote

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🔒 Seguros

🚫👨‍🎓 Sem graduação necessária

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Southeast Orthopedic Specialists

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2001

🧘 Bem-estar

⚽ Esportes

👥 B2C

Wellness • Sports • B2C

<Southeast Orthopedic Specialists> é uma prática médica regional que oferece cuidados ortopédicos e de coluna abrangentes no Nordeste da Flórida e no Sudeste da Geórgia. O grupo oferece tratamentos cirúrgicos e não operatórios, fisioterapia, exames de imagem (incluindo ressonância magnética), serviços de quiropraxia, gerenciamento da dor, podologia e centros de cirurgia ambulatorial, com clínicas de atendimento urgente sem necessidade de agendamento e uma equipe de especialistas certificados, treinados em programas de especialização, focados na saúde musculoesquelética e na medicina esportiva.

Descrição

• Review insurance denials to determine and take the next appropriate action steps to receive payment from the payor. • Appeal claims that have been denied for no auth, medical necessity, etc. • Verify receipt of claims with insurance plans to ensure timeliness of claims reimbursement. • Assume full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts. • Communicate with payors through phone calls, emails, and payor portals. • Process and take action on any written correspondence from insurance payors. • Identify and trend reasons for claim denials. • Resolve claim discrepancies reported by patients and other clinical departments.

🎯 Requisitos

• Must have a minimum of two years of medical claims processing experience. • Must be able to read and understand the Explanation of Benefits and denial reasons. • Advanced computer knowledge, including Windows-based programs such as Word and Excel. • Experience working with Blue Cross/Blue Shield, Commercial insurance companies, and Workman's Compensation carriers.

🏖️ Benefícios

• Competitive Health & Supplemental Benefits • Monthly stipend to use toward ancillary benefits • HSA with qualifying HDHP plans with company match • 401k plan • Employee Assistance Program available 24/7 • Employee Appreciation Days/Events • Paid Holidays & Paid Time Off • AND MORE!