You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Follow-Up Representative responsible for detailed knowledge and experience in insurance claim status follow-up, resolving denials and rejections, resubmitting claims, filing appeals, and handling incoming patient calls.

Key Responsibilities

• Responsible for claims denial, verification of insurance, processing claim appeals, and resubmitting claims as necessary.
• Investigate and resolve outstanding insurance claims within the appropriate time.
• Follow up on denials from insurance carriers and submit appeals when necessary.
• Contact patients to obtain the correct information for claim processing when necessary.
• Check patient information online or via phone call and update information appropriately.
• Answer and respond to patient and insurance carrier calls, addressing their questions and concerns professionally and timely.
• Document notes accurately in the medical software system per company guidelines.
• Work with practice sites to gather additional information required to correct claims.
• Monitor claims submissions, insurance payments, and denials to identify trends.
• Review incoming insurance and patient correspondence for appropriate action.
• Ensure compliance with insurance carriers' rules and regulations.
• Maintain up-to-date information on various insurance companies and any relevant changes.
• Communicate effectively with staff at all levels within and between departments.
• Provide guidance and instruction to fellow team members as needed.
• Provide work progress updates, recommend improvements, and communicate effectively with the Supervisor.
• Support and backup other areas of the department as needed.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.