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Insurance Follow Up Rep 
(Job)

resume-library  |  United States  |  

Ref:
PARTNER-3XQ9WT
Direct:
Employer:
Location:
United StatesUnited States (US)
Category:
Banking & Insurance/Insurance
Work Type:
Permanent
Work Time:
Full Time
Tags:
job,united-states,resume-library

Description 

Insurance Follow Up Rep

Overview:

Mountain Management Services and CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health is once again the only hospital in the Chattanooga area to be named a Best Regional Hospital by U.S. News & World Report. We are proud to be the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.We offer the following benefits to support you and your family:On-site childcare with extended hoursCare@Work premium account for additional support with children pets dependent adults and household needsEmployee Assistance Program (EAP) for you and your familyPaid Time Off (PTO)Health/Dental/Vision InsuranceFlexible spending accountsVoluntary Protection: Group Accident Critical Illness and Identify TheftAdoption AssistanceTuition Assistance for career growth and developmentMatching 401(k) and 457(b) Retirement ProgramsWellness ProgramAdditional incentives for eligible full time day shift and night shift opportunities



Responsibilities:

Mountain Management 



 



Expectations: •Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system toensure appropriate reimbursement is received for all FMG providers.•Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.•Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.•Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function.•Establishes and maintains professional and effective relationships with peers and other stakeholders.



Qualifications:

Minimum Qualifications:•High School Diploma or GED equivalent•Knowledge of insurance follow up process, clinic operations, general office principles, medical insurance, payer contract, and basic medical terminology and abbreviations, regulatory/reporting requirements•Excellent customer service, attention to detail, and the ability to maintain confidentially of medical records Preferred Qualifications:•Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities.•Graduation from a post-high school program in medical billing or other business-related field