Insurance Follow Up Rep

Job Summary and Responsibilities

Expectations:

• Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure 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.

Job Requirements

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 confidentiality 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

Where You'll Work

CHI Memorial Mountain Management

CHI Memorial Medical Group (Mountain Management Services), now part of Common Spirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.

We care about our employees’ well-being and offer benefits that complement work/life balance.

We offer the following benefits to support you and your family:

• Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs
• Employee Assistance Program (EAP) for you and your family
• Health/Dental/Vision Insurance
• Flexible spending accounts
• Voluntary Protection:
  Group Accident, Critical Illness, and Identity Theft
• Adoption Assistance
• Paid Time Off (PTO)
• Tuition Assistance for career growth and development
• Matching Retirement Programs
• Wellness Program

Pay Range

$16.42 - $23.19 /hour

We are an equal opportunity/affirmative action employer.