Insurance Follow-Up Representative

This is a fully remote position, open to applicants in Florida.

📋 Description

• Analyze insurance denials to identify and implement the necessary actions to secure payment from the payer.

• Appeal claims that have been denied due to lack of authorization, medical necessity, and other reasons.

• Confirm the receipt of claims with insurance providers to guarantee timely reimbursement.

• Take full ownership of minimizing accounts receivable by addressing outstanding insurance balances.

• Interact with payors via phone calls, emails, and payer portals.

• Manage and respond to any written communications from insurance payors.

• Recognize and analyze trends in claim denials.

• Address claim discrepancies raised by patients and other clinical departments.

⛳️ Requirements

• A minimum of two years of experience in medical claims processing is required.

• Ability to read and comprehend the Explanation of Benefits and reasons for denial.

• Proficient in advanced computer skills, including familiarity with Windows-based applications such as Word and Excel.

• Experience with Blue Cross/Blue Shield, commercial insurance providers, and Workers' Compensation carriers is essential.

🏝️ Benefits

• Competitive health and supplemental benefits.

• Monthly stipend for ancillary benefits.

• Health Savings Account (HSA) available with qualifying High Deductible Health Plans (HDHP) and company match.

• 401(k) retirement plan.

• Employee Assistance Program accessible 24/7.

• Employee Appreciation Days and Events.

• Paid holidays and paid time off.

• AND MORE!