Insurance Follow-Up Representative

🕒 il y a 2 mois

🐊 Florida – Distant

🐊 Florida – Remote

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🔒 Assurance

🚫👨‍🎓 Aucun diplôme requis

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Southeast Orthopedic Specialists

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2001

🧘 Bien-être

⚽ Sports

👥 B2C

Wellness • Sports • B2C

<Southeast Orthopedic Specialists> est un cabinet médical régional offrant des soins complets en orthopédie et en colonne vertébrale dans le nord-est de la Floride et le sud-est de la Géorgie. Le groupe propose des traitements chirurgicaux et non opératoires, de la kinésithérapie, de l'imagerie (y compris l'IRM), des services de chiropractie, la gestion de la douleur, la podiatrie, et des centres de chirurgie ambulatoire, avec des cliniques urgentes sans rendez-vous et une équipe de spécialistes certifiés par le conseil et formés en fellowship, se concentrant sur la santé musculo-squelettique et la médecine sportive.

Description

• 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.

🎯 Exigences

• 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.

🏖️ Avantages

• 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!