Insurance Follow Up Rep

** Job Summary and Responsibilities*
* As an Insurance Follow Up Rep, you will resolve unpaid insurance claims and collect outstanding balances from third-party payers.

Every day you will review denials, initiate follow-up with insurers, rectify billing errors, submit appeals, and negotiate for maximum reimbursement.

To be successful, you will understand billing regulations, possess strong problem-solving skills, and communicate effectively to optimize revenue recovery.

+ 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 receive.

+ Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received.

+ Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements.

+ Resubmits claims with necessary information when requested through paper or electronic methods.

+ Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify.

+ Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels.

** Job Requirements
** Required

+ None, upon hire

Preferred

+ High School GED General Studies and Two years of revenue cycle or related work experience , upon hire or

+ High School Graduate General Studies and Two years of revenue cycle or related work experience , upon hire and

+ Graduation from a post-high school program in medical billing or other business related field is , upon hire

Where You'll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

** Pay Range*
* $17.24 - $24.35 /hour

We are an equal opportunity/affirmative action employer.