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Insurance Billing and Follow-Up Rep

Saint Paul, Minnesota

Job ID: 9465 Category: Health

Job Description

  • Performs billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submission.
  • Performs charge corrections per departmental requests.
  • Works directly with third party payers, internal and external customers, toward effective and efficient claims resolution.
  • Responds to Customer Service inquires.
  • Maintains a thorough knowledge of third party billing and collection requirements for payers assigned.
  • Submits replacement, cancel, and appeal, claims to third party payers.
  • Utilizes all resources available, including electronic inquiries to verify eligibility, and claim status.
  • Exercises good judgement towards account resolution and documents all activity on account in clear, accurate, and consistent manner.
  • Contacts patient for additional information in order to have claims processed and paid in a timely manner.
  • Perform due diligence to contact patient by phone and/or sending a letter.
  • Advises manager/coordinator of any billing errors, third party payer trends, denials, or payment fluctuation, to ensure proper handling and escalation when necessary.
  • Meets departmental productivity and quality assurance standards in accordance with departmental policies.
  • Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards.
  • Actively participates in creating and implementing improvements.
  • Performs other responsibilities as needed/assigned.
  • ICD-9 10 Coding experience helpful.
  • Reports to: Manager Accounts Receivable.

 

Qualifications:

  • Attention to Detail: Achieves thoroughness and accuracy when accomplishing a task.
  • Computer Skills Basic: Ability to use a computer and applications that are associated with performing basic work tasks (navigate in Windows, Outlook, etc).
  • Data Entry: Skilled in entering data and calculating items for processing; input of data into computer systems.
  • Interpersonal Communication: Skilled in developing effective rapport with customers, co-workers, or families, actively listening to develop a positive connection.
  • Math Basic Skills: Knowledge and skills related to applying mathematical tools and methods for routine calculations.
  • Records Management: Knowledge of appropriate data collection policy and procedures, filing systems, data management systems, and programs.
  • Ability to compile, assimilate, organize, and store printed and electronic information.
  • Written Communication: Ability to organize and express information and ideas in written form to individuals as well as groups. Construct messages that are clear and convincing.
  • High school graduate or equivalent Experience: Minimum 2 years office experience, preferably in a health care setting.

 

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