Insurance Follow Up Representative

• Resolve unpaid insurance claims and collect outstanding balances from third-party payers
• Review denials, initiate follow-up with insurers, rectify billing errors, submit appeals, and negotiate for maximum reimbursement
• 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
• 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.

• High School Graduate, upon hire
• High School GED, upon hire
• Other Graduation from a post-high school program in medical billing or other business-related field and Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities.

medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings