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Insurance Follow Up Representative
- Posted: July 18, 2024
- Salary:US$20.00 - US$22.00 per hour + health, dental, vision
- Location:Valhalla
- Job type: Contract
- Discipline:Revenue Cycle
- Reference:230545_1721334227
- Work Location:On-site
Job description
- Monitor and review outstanding insurance claims to identify unpaid or underpaid claims.
- Contact insurance companies to inquire about the status of unpaid claims and to expedite processing.
- Resubmit corrected claims or additional documentation as needed to facilitate payment.
- Review claim denials and partial payments to determine the reason for denial or underpayment.
- Prepare and submit appeals for denied claims, providing necessary documentation and following up until resolution.
- Communicate with patients regarding the status of their insurance claims and any actions required on their part.
- Address patient inquiries about billing, insurance coverage, and claim statuses.
- Keep detailed records of all insurance follow-up activities, including calls made, responses received, and actions taken.
- Ensure that all follow-up actions are accurately documented in the electronic health record systems.
- Coordinate with billing and coding staff to ensure that claims are accurate and complete before submission.
- Develop and maintain effective working relationships with insurance company representatives to facilitate claim resolution.
- Adhere to all healthcare regulations, including HIPAA, and maintain patient confidentiality throughout the claims follow-up process.
- Keep up to date with changes in insurance policies, billing codes, and healthcare laws to ensure compliance and optimize the follow-up process.