Insurance Follow-Up Representative

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

📋 Description

• Analyze insurance denials to establish and implement the necessary steps to secure payment from the payor.

• Challenge claims that have been refused due to lack of authorization, medical necessity, and similar reasons.

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

• Take full accountability for minimizing the accounts receivable of insurance balances by addressing outstanding accounts.

• Engage with payors via telephone, email, and payor portals.

• Manage and respond to written communication from insurance payors.

• Detect and analyze trends in the reasons for claim denials.

• Address claim discrepancies identified 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 is essential.

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

• Experience collaborating with Blue Cross/Blue Shield, commercial insurance providers, and Workman's Compensation carriers 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 (HDHP) including company match.

• 401k retirement plan.

• Employee Assistance Program accessible 24/7.

• Employee appreciation days and events.

• Paid holidays and paid time off.