Insurance Agency Professional

The Insurance Follow-up Representative is responsible is to insure 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 patient’s 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.

Difficulty of Work

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.

Responsibility

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.

Personal Work Relationships

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

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

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