Insurance Representative

Job Details Job Location: Eastover - Charlotte, NC 28204 General Summary: A non-exempt position responsible for the proper and timely processing of claims and payments to providers. Essential Job Responsibilities Weekly review of claim edits reports and correct claim information such as CPTs, valid ICD-10's, referring doctor name/UPIN #, modifiers, etc. Work and correct claim rejections from Waystar, correcting necessary data. Daily follow-up of aged accounts and denied charges. Keep A/R Supervisor informed on all Payer problems. Contact insurance carriers via phone or website. Handle patient and provider calls regarding claims or statements. Answer and forward incoming calls in a timely manner. Identify and resolve patient billing complaints. Perform various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers. Identify and correct posting errors and overpayments. Review and correct COB errors. Other duties and projects as assigned. Occasional overtime may be required. Qualifications Education: High school diploma or equivalent. Experience: Minimum two years of experience working insurance AR follow up and claims processing in a health care setting, including denials and appeals. Performance Requirements Knowledge: Clinic policies and procedures. Health care insurance claim practices and compliance. Computer systems, programs, and applications. Medical terminology. Skills: Gathering and reporting claim information. Trouble-shooting claim insurance problems. Written and verbal communication and customer relations. Abilities: Work effectively with physicians, other medical staff, and external agencies. Identify and analyze claim problems. Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc. Work Environment: Position is in a well-lighted office environment. Occasional evening and weekend work. Mental/Physical Requirements: Involves sitting approximately 90 percent of the day, walking or standing the remainder. #J-18808-Ljbffr Carolina Asthma And Allergy Center Master