Medical Coder / Insurance Follow Up Representative

 

Job Description

Position: Insurance Follow-up Specialist

Classification: Non-Exempt

Department/Reports to: Billing Manager/Supervisor

Position Summary: Actively works the billing and follow up of Third Party Payer accounts.

Education: High School diploma/GED

Work Experience: 2 years of medical collections or follow-up experience

Essential Job Functions:

·          Contacting Clients and/or Payers regarding the status of payments by written correspondence, online software, and telephone conversations to discuss and secure payment. 

·          Follow up on outstanding accounts by Financial Class

·          Work correspondence, including denials and updates

·          Request necessary adjustments generated by aging and correspondence

·          Re-bill insurance or update accounts

·          Advise manager of negative payment trends

·          Document all transactions and notes into the billing system

·          Must follow all company and customer work standards and must meet performance criteria to include assigned goals.

·          Build rapport over the telephone and present information in a professional, accurate, and timely manner.

·          Ensure work is performed within clear defined areas of regulations and procedures.

 

Aptitudes and Skills Requirements:

·         Individual must have tact and sound judgment

·         2+ yrs with medical collections or insurance follow-up experience

·         Ability to problem solve.

·         Ability to multi-task.

·         Ability to use copy and fax machines.

·         Knowledge of medical insurance company’s procedures and requirements.

·         Ability to read and comprehend an EOB

·         Individual must have tact and sound judgment

·         Good communication skills

·         Must have knowledge of Microsoft Word and Excel
  CPC Certification