Insurance Follow-Up Representative

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

📋 Description

• Analyze insurance denials to assess and execute the appropriate subsequent actions to secure payment from the payor.

• Challenge claims that have been rejected 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 related to insurance balances by addressing outstanding accounts.

• Engage in communication with payors via phone, email, and payor portals.

• Handle and respond to any written communication received from insurance payors.

• Identify and analyze trends in claim denials.

• Address claim discrepancies reported by patients and various 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 denial reasons is essential.

• Proficiency in computer skills, including knowledge of Windows-based applications like Word and Excel.

• Experience with Blue Cross/Blue Shield, commercial insurance firms, and Workman's Compensation providers is preferred.

🏝️ Benefits

• Competitive health and supplemental benefits.

• Monthly stipend available for use towards ancillary benefits.

• Health Savings Account (HSA) with qualifying high-deductible health plans, including company matching.

• 401(k) retirement plan.

• 24/7 Employee Assistance Program.

• Employee appreciation events and days.

• Paid holidays and paid time off.

• AND MORE!