Insurance Follow-Up Representative (Jacksonville, FL)
INSURANCE FOLLOW-UP REPRESENTATIVE NON-CLINICAL BUSINESS OFFICE FULL-TIME JACKSONVILLE, FL $15+/HOUR BENEFITS PACKAGE Established in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine.
We are dedicated to growing with our patients.
Our reach will continue to expand to meet the needs of all patients, present and future.
It is our wish to make industry-leading five-star orthopedic care accessible to as many people as possible.
AtSoutheast Orthopedic Specialists, we are dedicated to taking care of you so you can take care of business! Our robust BENEFITS PACKAGE includes the following:
Competitive Health & Welfare Benefits Monthly $43 stipend to use toward ancillary benefits HSA with qualifying HDHP plans with company match 401k plan after 6 months of service with company match (Part-time employees included) Employee Assistance Program available 24/7 Employee Appreciation Days/Events Paid Holidays & Paid Time Off AND MORE! As Southeast Orthopedic Specialists continues to grow, we are hiring InsuranceFollow-Up Representative's for ourCentral Business Office located in Jacksonville, FL!Please see below for the functions and requirements for this position:
GENERAL SUMMARY Responsible for facilitation of insurance billing and collection activities, following patient accounts through the billing process to the payor, working with the payor through claims processing, ensuring reimbursement to the practice.
ESSENTIAL FUNCTIONS Reviews insurance denials and rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding denials/rejections.
Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff and patients.
Obtains and attaches referrals/authorizations to appointments/charges.
Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.
Assumes full responsibility of reducing the accounts receivable of insurance balances by working through outstanding accounts.
Analyzes accounts for proper claims processing and payment posting through inquiries from patients or staff.
Identifies and communicates trends and/or potential issues to management team.
Follows and maintains all CORE Institute policies and procedures, including those specific to billing and the Revenue Cycle.
EDUCATIONHigh school diploma or equivalent GED preferred.
High school diploma/GED or equivalent working knowledge preferred.
EXPERIENCE Minimum two to three years of experience in medical billing.
Must be able to communicate effectively with physicians, patients and the public and be capable of establishing good working relationships with both internal and external customers.
KNOWLEDGE Knowledge of the physician billing processes, ICD-10 and CPT coding.
Knowledge of computer systems.
Experience with GE patient management system preferred.
Advanced computer knowledge, including Window based programs.
SKILLS Skill in customer service and an understanding of The CORE code of conduct and culture.
Skill in using computer programs and applications including Microsoft Excel, Microsoft Word and Outlook.
Skill in establishing good working relationships with both internal and external customers.
ABILITIES Ability to multi task in a fast-paced environment.
Must be detailed oriented with strong organizational skills.
Ability to understand patient demographic information and determine insurance eligibility.
Ability to work independently and demonstrate the ability to analyze data.
ENVIRONMENTAL WORKING CONDITIONSNormal office environment.
PHYSICAL/MENTAL DEMANDS Requires sitting and standing associated with a normal office environment.
Combination of bending, lifting and transferring activities.
Manual dexterity using a calculator and computer keyboard.
ORGANIZATIONAL REQUIREMENTSHOPCo Mission, Vision and Values must be read and signed.
This description is intended to provide only basic guidelines for meeting job requirements.
Responsibilities, knowledge, skills,abilities and working conditions may change as needs evolve.
QUESTIONS? email protected Recommended Skills Attention To Detail Billing Cpt Coding Claim Processing Communication Computer Keyboards Estimated Salary: $20 to $28 per hour based on qualifications.
We are dedicated to growing with our patients.
Our reach will continue to expand to meet the needs of all patients, present and future.
It is our wish to make industry-leading five-star orthopedic care accessible to as many people as possible.
AtSoutheast Orthopedic Specialists, we are dedicated to taking care of you so you can take care of business! Our robust BENEFITS PACKAGE includes the following:
Competitive Health & Welfare Benefits Monthly $43 stipend to use toward ancillary benefits HSA with qualifying HDHP plans with company match 401k plan after 6 months of service with company match (Part-time employees included) Employee Assistance Program available 24/7 Employee Appreciation Days/Events Paid Holidays & Paid Time Off AND MORE! As Southeast Orthopedic Specialists continues to grow, we are hiring InsuranceFollow-Up Representative's for ourCentral Business Office located in Jacksonville, FL!Please see below for the functions and requirements for this position:
GENERAL SUMMARY Responsible for facilitation of insurance billing and collection activities, following patient accounts through the billing process to the payor, working with the payor through claims processing, ensuring reimbursement to the practice.
ESSENTIAL FUNCTIONS Reviews insurance denials and rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding denials/rejections.
Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff and patients.
Obtains and attaches referrals/authorizations to appointments/charges.
Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.
Assumes full responsibility of reducing the accounts receivable of insurance balances by working through outstanding accounts.
Analyzes accounts for proper claims processing and payment posting through inquiries from patients or staff.
Identifies and communicates trends and/or potential issues to management team.
Follows and maintains all CORE Institute policies and procedures, including those specific to billing and the Revenue Cycle.
EDUCATIONHigh school diploma or equivalent GED preferred.
High school diploma/GED or equivalent working knowledge preferred.
EXPERIENCE Minimum two to three years of experience in medical billing.
Must be able to communicate effectively with physicians, patients and the public and be capable of establishing good working relationships with both internal and external customers.
KNOWLEDGE Knowledge of the physician billing processes, ICD-10 and CPT coding.
Knowledge of computer systems.
Experience with GE patient management system preferred.
Advanced computer knowledge, including Window based programs.
SKILLS Skill in customer service and an understanding of The CORE code of conduct and culture.
Skill in using computer programs and applications including Microsoft Excel, Microsoft Word and Outlook.
Skill in establishing good working relationships with both internal and external customers.
ABILITIES Ability to multi task in a fast-paced environment.
Must be detailed oriented with strong organizational skills.
Ability to understand patient demographic information and determine insurance eligibility.
Ability to work independently and demonstrate the ability to analyze data.
ENVIRONMENTAL WORKING CONDITIONSNormal office environment.
PHYSICAL/MENTAL DEMANDS Requires sitting and standing associated with a normal office environment.
Combination of bending, lifting and transferring activities.
Manual dexterity using a calculator and computer keyboard.
ORGANIZATIONAL REQUIREMENTSHOPCo Mission, Vision and Values must be read and signed.
This description is intended to provide only basic guidelines for meeting job requirements.
Responsibilities, knowledge, skills,abilities and working conditions may change as needs evolve.
QUESTIONS? email protected Recommended Skills Attention To Detail Billing Cpt Coding Claim Processing Communication Computer Keyboards Estimated Salary: $20 to $28 per hour based on qualifications.
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