Insurance Follow-Up Representative

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

📋 Description

• Analyze insurance denials to assess and determine subsequent action steps 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 of claims.

• Take full accountability for decreasing the accounts receivable related to insurance balances by addressing outstanding accounts.

• Engage with payors through phone calls, emails, and payor portals for effective communication.

• Process and respond to any written communications received from insurance payors.

• Identify and analyze trends in the reasons for 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 interpret the Explanation of Benefits and denial reasons is essential.

• Proficient computer skills, including knowledge of Windows-based applications such as Word and Excel.

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

🏝️ Benefits

• Competitive Health & Supplemental Benefits.

• Monthly stipend available for ancillary benefits.

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

• 401k retirement plan.

• Employee Assistance Program accessible 24/7.

• Special Employee Appreciation Days and Events.

• Paid Holidays and Paid Time Off.

• AND MORE!