Insurance Follow-up

Insurance Follow-up Representative

The Insurance Follow-up Representative is responsible to ensure that all necessary processing has been completed for any and all involved insurance policies to resolve account balances. Adhering to the procedures and steps set in the department procedures. Also involves working correspondence, taking incoming calls, and contacting patients to gather insurance information in order to initiate the billing process.

Essential Duties of the Position

• Obtain insurance information
• Reconcile FACS to the client system
• Ensure proper credit is given to payments or adjustments that have been posted
• Handle all correspondence.
• Review correspondence, notate accounts, and follow up if needed
• Verify correspondence is sent to be scanned on the accounts for future reference
• Tie or untie accounts as needed while working the accounts
• Attempt to resolve all patient concerns on every call
• Maintain quality customer service
• Retrieves, sustains and communicates all designated reports
• Develops and retains professional relationship insurance company representatives
• Maintains confidentiality at all times (i.e., PHI HIPAA, and HITEC)
• Supports the mission and goals of the company

Responsibilities of the Position

• Computer proficiency skills are required
• Ability to learn multiple databases
• Ability to multi-task (speaking on the phone and updating account information, demographics and notes)

Requirements of the Position

• Must be organized, detail oriented, and flexible.
• Must have the ability to perform repeated tasks with a high level of accuracy.
• Must have working knowledge of CBS policies and procedures.
• Must have working knowledge of HIPAA and Red Flag regulations.
• Must possess a thorough understanding of Complete Billing Services employee handbook as well as policies & procedures surrounding all related functions.

The work can include some difficult aspects dealing with accounts, insurance representatives and in some cases the patients or RP on the account. Account procedures are outlined in the CBS procedures and help guide representatives through accounts.

The incumbent works in a team concept, but will need to be able to work accounts on his/her own. Accounts are randomly checked for training purposes. Errors may be caught, but not immediately. Work is somewhat independent in nature. The incumbent makes a substantial impact on the processing of the account based on actions completed.

Incumbent works with colleagues, team leads, supervisors and management staff.

Schedule: Full-Time Monday through Friday between 7AM - 5PM EST