Insurance Follow-Up Representative
Insurance Follow-Up Representative
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Salary Not Disclosed
1 Vacancy
Job Description
INSURANCE FOLLOWUP REPRESENTATIVE
NONCLINICAL BUSINESS OFFICE FULLTIME JACKSONVILLE FL BENEFITS PACKAGE
Established in 2001 Southeast Orthopedic Specialists is a regional leader in musculoskeletal medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients present and future. It is our wish to make industryleading fivestar orthopedic care accessible to as many people as possible.
As Southeast Orthopedic Specialists continues to grow we are hiring Insurance FollowUp Representatives for ourCentral Business Office located in Jacksonville FL!Please see below for the functions and requirements for this position:
Insurance Follow Representatives are responsible for following patient accounts through the insurance payors to ensure proper reimbursement to the practice.
In this role Insurance Follow Up Reps will:
- Review insurance denials to determine and take the next appropriate action steps to receive payment from the payor.
- Appeal claims that have been denied for no auth medical necessity etc.
- Verify receipt of claims with insurance plans to ensure timeliness of claims reimbursement.
- Assume full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.
- Communicating with payors through phone calls emails and payor portals.
- Process and take action on any written correspondence from insurance payors.
- Identify and trend reasons for claim denials.
- Resolve claim discrepancies reported by patients and other clinical departments.
The ideal candidate will have:
- Must have a minimum of two years of medical claims processing experience.
- Must be able to read and understand the Explanation of Benefits and denial reasons.
- Advanced computer knowledge including Windowsbased programs such as Word and Excel.
- Experience working with Blue Cross/Blue Shield Commercial insurance companies and Workmans Compensation carriers.
AtSoutheast Orthopedic Specialists we are dedicated to taking care of you so you can take care of business! Our robust BENEFITS PACKAGE includes the following:
- Competitive Health & Supplemental Benefits
- Monthly stipend to use toward ancillary benefits
- HSA with qualifying HDHP plans with company match
- 401k plan
- Employee Assistance Program available 24/7
- Employee Appreciation Days/Events
- Paid Holidays & Paid Time Off
- AND MORE!
QUESTIONS
CONTACT
Required Experience:
Unclear Seniority
Employment Type
Full-Time
