Insurance Follow-Up Representative

Location: Little Rock, Arkansas
Date Posted: 01-03-2019
or
We are searching for a qualified individual to fill an Insurance Follow-Up Representative position with a Medical Group Practice located in Little Rock, AR.
 
Position Overview:
 
The Insurance Follow-Up Representative is responsible for handling the accounts receivable follow-up of assigned providers as directed.
 
Duties and Responsibilities:

 
  • Completion of the daily work assigned in the work queues of the Revenue Cycle and Revenue Manager systems.
  • Processing claims as needed by accurately attaching the appropriate primary EOB prior to submission.
  • Accurately coding insurance information on coverage records in the Revenue Cycle system.
  • Maintaining work queues generated by electronic submission of claims, correcting errors, and re-processing claims as needed.
  • Providing follow-up of unpaid/incorrectly paid claims as dictated by department policy.
  • Submitting corrected claims as needed and processes appeals for incorrectly denied claims and processing write-offs as needed and dictated by department policy.
  • Processing online adjustments to insurance claims when available.
  • Compliance with audit requests by insurance carriers in a timely fashion.
  • Reviewing medical records and re-submitting with appropriate documentation to expedite the claims processing while adhering to confidentiality requirements.
  • Accurately processing corrections on accounts and/or active claims by correcting errors or voiding.
  • Posting appropriate adjustments as needed.
 
Requirements:
  • High school diploma, or equivalent.
  • Proficient in basic computer applications and Electronic Medical Records (EMRs).
  • Maintains a positive, resourceful attitude toward achieving overall department and clinic goals.
  • Knowledge of ICD-10, CPT coding, medical terminology, and insurance billing.
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