Insurance Agency Professional

Insurance Representative
The Insurance Representation role plays an integral part in the success of our large, multi-physician Orthopaedic and Sports Medicine practice, as well as our Ambulatory Surgical Center. This position may be responsible for and assigned to a variety of insurance- and revenue-related functional areas, depending on the needs of the organization and the individual's experience.
This position requires strong industry knowledge of insurance processes, revenue cycle management, and best practices. High School Diploma or equivalent required
Orthopaedic billing experience strongly preferred
Ambulatory Surgery Center billing experience strongly preferred
Understand managed care and governmental insurance rates and requirements related to fees and prior authorizations
Respond to patient and insurance company inquiries in a professional and courteous manner
Verify insurance benefits and ensure accurate data entry
Perform timely follow-up on insurance claims, including rejections and denials, to secure prompt payment
Identify trends or issues impacting timely claim resolution and proactively bring them to management's attention
Financial : Inspired to perform well by monetary reimbursement