Insurance Follow-Up Representative

This is a fully remote position, open to applicants in Illinois, +4 more states.

📋 Description

• Conduct research and update information related to commercial and government insurance in various databases.

• Confirm patient insurance coverage.

• Submit claims to both private and government-sponsored insurance entities.

• Follow up on pending claims and address denials from all payers.

• Query information using remote Medicare software.

• Acquire knowledge of new systems and process solutions to ensure appropriate assignment and workflow.

• Reach out to insurance companies, payers, or patients to collect information necessary for appeal processing.

• Ensure compliance with company policies, processes, legal guidelines, HIPAA, and State and Federal regulations.

• Accurately enter and update benefit information in various databases.

• Comply with departmental and client production standards.

• Manage medical records accurately and with confidentiality.

• Perform additional tasks as assigned by the manager.

⛳️ Requirements

• A high school diploma or equivalent is mandatory.

• At least 2 years of experience in the medical field is preferred.

• Minimum of 2 years of experience in medical billing is required.

• Experience working with both government and commercial payers is essential.

• Familiarity with insurance terminology and processes is necessary.

• Intermediate to advanced computer skills, particularly in Microsoft Word and Excel, are required.

• Knowledge and skills in navigating insurance portals for online benefit reviews are essential.

• Experience with medical system platforms such as STAR, EPIC, etc., is required.

• Ability to type at least 25 words per minute is necessary.

• Must be able to work on a computer throughout the scheduled shift.

• Must be capable of answering and making telephone calls using a standard or computer soft telephone.

• Ability to utilize multiple screens and systems simultaneously is a must.

• Must be on camera 100% of the time during the scheduled shift.

• Ability to occasionally stand or walk and lift and/or move up to 25 pounds is required.

🏝️ Benefits

• Flexible work-from-home office environment.

• Webcam provided for virtual meetings.

• Equal Opportunity Employer.