Insurance Follow-Up Representative

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

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Southeast Orthopedic Specialists

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2001

🧘 Wellness

⚽ Sports

👥 B2C

Wellness • Sports • B2C

<Southeast Orthopedic Specialists> is a regional medical practice providing comprehensive orthopedic and spine care across Northeast Florida and Southeast Georgia. The group offers surgical and non-operative treatments, physical therapy, imaging (including MRI), chiropractic services, pain management, podiatry, and ambulatory surgery centers, with urgent walk-in clinics and a team of board-certified, fellowship-trained specialists focused on musculoskeletal health and sports medicine.

📋 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. • Communicating 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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!