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The CORE InstitutePosted 1 month ago

Insurance Follow-Up Rep

On-sitePhoenix, Arizona, United States

Full TimeMedium

Job Summary

Review insurance denials and rejections to determine next action steps and obtain necessary information for resolution. Verify patient demographic information, insurance eligibility, and coordination of benefits to allow claim processing. Verify receipt of claims with insurance plans, determine next steps, and track timeliness for maximum reimbursement. Research all information needed to complete billing by obtaining data from providers, ancillary staff, and patients. Assume full responsibility for reducing accounts receivable by working through outstanding insurance balances. Facilitate insurance billing and collection activities by following patient accounts through the billing process to payors. Ensure reimbursement to the practice through claims processing. Requires two to three years of medical billing experience and knowledge of ICD-10 and CPT coding.

Required Qualifications

  • High school diploma/GED or equivalent
  • Working knowledge
  • Two to three years of experience in medical billing
  • Ability to communicate effectively with physicians, patients, and the public
  • Capability of establishing good working relationships with both internal and external customers
  • Knowledge of the physician billing processes
  • Knowledge of ICD-10
  • Knowledge of CPT coding
  • Knowledge of computer systems

Desired Qualifications

  • Experience with GE patient management system

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