Insurance Follow Up Representative
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Job Description
Insurance Follow Up Representative responsible for reconciling patient accounts for Baptist Health Care. Examining health information and ensuring accurate insurance payment and follow-up.
Responsibilities:
- Responsible for the accounts receivables reconciliation process for patient accounts including but not limited to: examining, correcting and consistently updating patient health information to ensure accurate insurance payment/follow-up and applying appropriate contractual allowances.
- Resolves patient and insurance carrier inquiries in a timely manner to avoid increasing A/R days.
- Uses on-line systems provided by multiple payers to verify eligibility and benefits as well as checking claim status appropriately.
- Makes telephone calls to the payer to ensure receipt of claims filing and payment on submitted claims.
- Maintains appropriate/consistent documentation on accounts worked utilizing the accounts receivables work listing or patient accounting system.
- Identifies non-payment trends by payer and notify management and comes to the table with potential solutions to these non-payment trends.
- Applies proper account management principles to accounts to ensure accurate follow up.
Requirements:
- High School Diploma or Equivalent Required
- 6 months Relevant revenue cycle experience Required
- Experience with health care insurance collections Preferred
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