Insurance Billing Professional

Overview The Insurance Follow-up Representative position is responsible for all insurance follow‑up on assigned accounts from the management team. The core responsibilities of an insurance follow‑up representative include research, insurance billing and adjustment identification to ensure proper account resolution.

Essential Duties / Responsibilities Obtain Claim Status via the Telephone, Internet and/or Fax

Review and Interpret Contractual Terms for Managed Care, Commercial, Medicare, Medicaid and Workers’ Compensation

Obtain Supporting Documentation Regarding Insurance Follow‑up Efforts

Identify Contractual and Administrative Adjustments Billing via Electronic and Hard copy Submission

Requirements and Qualifications Education: High school diploma or equivalent. A minimum of two years previous work experience as an insurance follow‑up representative or accounting is required.

Experience: Must have full understanding of insurance follow‑up processes (i.e., Billing, Collections, Managed Care, Medicare, Medicaid and Commercial Practices), and well-developed interpersonal skills. Experience in Anesthesia insurance follow‑up is a strong preference.

Skills Excellent verbal and written communication skills

Reliable attendance record

Knowledge of EOBs, CPT & ICD-9 codes, HCFAs, UB92s, HCPCS, DRGs and authorizations/referrals

Good problem‑solving skills

Ability to learn / stay abreast of relevant policies

Proficient computer skills

Ability to type a minimum of 40 wpm

Detail oriented and well organized

Outstanding listening skills

Ability to perform under pressure in a calm manner

Basic math skills

High degree of accuracy

Positive attitude

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