Medical Office Insurance Representative

About Us: We are a growing, busy and patient-focused medical office dedicated to providing top-quality healthcare in a supportive and compassionate environment. We are seeking an experienced and detail-oriented Insurance Representative to join our administrative team and help ensure efficient and accurate insurance processing. Job Summary: The Medical Office Insurance Representative plays a crucial role in our billing office operations. This individual is responsible for verifying insurance coverage, obtaining prior authorizations, assisting with claim submissions, contacting insurance companies regarding unpaid claims, filing appeals, A/R follow up, patient collections and serving as a liaison between patients, providers, and insurance companies. Key Responsibilities: Verify accurate insurance information has been inputted into the practice management system on all patients. Review insurance claims for accuracy and submit to insurance carriers in a timely manner. Appeal claims that are processed incorrectly for resolution in a timely manner. Contact insurance companies regarding claims that need to be adjudicated timely. Follow up on unpaid or denied claims and work toward resolution. Communicate with patients regarding their insurance coverage, co‑pays, and billing questions. Collaborate with clinical and administrative staff to ensure smooth patient flow and accurate documentation. Stay current on insurance policies, coding changes, and regulatory updates. Qualifications: High school diploma or equivalent required; associate degree or certification in medical billing/insurance preferred. Minimum of 2 years' experience in a medical office insurance or billing role. Strong understanding of medical insurance plans, coding, and billing processes (ICD‑10, CPT, HCPCS). Familiarity with electronic medical records (EMR) and billing software (e.g., NextGen, Epic, etc.). Excellent attention to detail, problem-solving skills, and organizational abilities. Strong interpersonal and communication skills. Ability to work independently and as part of a team in a fast‑paced environment. #J-18808-Ljbffr