Insurance Follow Up Rep

Review denials, initiate follow-up with insurers, rectify billing errors, submit appeals, and negotiate for maximum reimbursement. Communicate effectively over the phone and through written correspondence to explain outstanding balances using accurate reasoning based on Explanation of Benefits and remittance advices. Make necessary corrections in the practice management system and resubmit claims via paper or electronic methods when requested. Anticipate potential areas of concern, identify issues and trends, and conduct staff training to address and rectify them. Recognize when additional assistance is needed and escalate appropriately through defined channels. High School GED or graduate with two years of revenue cycle experience required.