Remote Insurance Specialist - Follow-Up Representative

Job Title: Remote Insurance Follow-Up Representative

Job Overview

We are on the lookout for a diligent and detail-oriented Remote Insurance Follow-Up Representative to become a vital part of our exceptional team. This position plays a key role in facilitating the efficient resolution of insurance claims related to healthcare services. You will oversee account management, engage with insurance providers, and deliver unparalleled customer service to our esteemed healthcare clients.

Key Responsibilities

• Account Management: Scrutinize and oversee accounts, following up with insurance providers to ascertain claim status and guarantee prompt resolution.
• Claims Processing: Collect and submit missing information, rebill, and appeal claims as needed. Handle both electronic and paper claims for all payers.
• Customer Interaction: Offer top-notch customer service to a diverse range of healthcare clients, addressing their inquiries and concerns with professionalism and empathy.
• Research and Investigation: Prepare, investigate, and collect payments from various contracted health insurance providers, analyzing remittances and Explanation of Benefits (EOBs) for accurate payments or denials.
• Claims Corrections: Submit revised claims or appeals and request necessary adjustments as required.
• Client Support: Identify issues that necessitate client assistance and provide the requisite support.
• Process Improvement: Collect payer trends and provide constructive feedback to optimize our procedures.
• Additional Duties: Undertake other responsibilities as assigned to support team and client needs.
  
  

Required Skills

• Preferred proficiency in EPIC software.
• Strong command of Microsoft Office suite.
• Comprehensive understanding of government and non-government billing guidelines for facilities and physicians.
• Proven experience in resolving account/claim statuses and navigating appeals processes.
• Familiarity with UB04 and HCFA forms.
• Excellent customer service and time management capabilities.
• High level of attention to detail.
• Exceptional verbal, written, and electronic communication skills.
  
  

Qualifications

• High school diploma or General Education Development (GED) certificate is mandatory.
• One to two years of college education is preferred.
• A minimum of three years of relevant experience, ideally in medical billing, insurance collections, or within the healthcare revenue cycle.
  
  

Career Growth Opportunities

We are committed to fostering professional growth, providing our team members with avenues to enhance their skills and advance their careers within the healthcare sector.

Company Culture And Values

Our organization prides itself on a supportive and collaborative work environment that emphasizes dedication to excellence and attention to detail in serving our healthcare clients.

Compensation And Benefits

• A flexible and remote work setup.
• The chance to contribute positively to the healthcare industry.
• A competitive salary and comprehensive benefits package.
• A team that is devoted to your success.
  
  

If you are a proactive professional with a passion for healthcare and exceptional customer service, we encourage you to apply. Become a part of a team that values your expertise and commitment.

To Apply

Please submit your resume along with a cover letter that outlines your relevant experience and your fit for our team. We look forward to the prospect of collaborating with you!

Employment Type: Full-Time