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Premier Medical Group of the Hudson Valley Insurance Follow Up Representative in Poughkeepsie, New York

JOB DESCRIPTION

JOB TITLE: Insurance Follow up Representative

DEPARTMENT/DIVISION: Billing STATUS: Full-time, Non-Exempt

REPORTS TO: Billing Manager

POSITION SUMMARY:

The Insurance Follow up Representative is responsible for collecting and resolving outstanding third-party receivables, meeting productivity standards related to cash collections, aging of accounts, timely follow up and account resolution.

DUTIES AND RESPONSIBILITIES:

  • Extensive Insurance follow up for various insurance plans

  • Working denials, submitting appeals and corrected claims

  • Thorough knowledge and understanding of insurance plan policy updates including authorization and medical necessity requirements

  • Insurance Refund processing

  • Answering phone calls

  • Answering patient and staff questions for particular insurance plans

  • Setting up users for the insurance portals

  • Overall awareness of specified insurance plans accounts receivable issues

  • All Other duties as assigned.

EDUCATION & EXPERIENCE:

  • Minimum of a High School diploma

  • 2 to 4 years relevant experience preferably in a healthcare environment.

QUALIFICATIONS & REQUIREMENTS:

  • Strong organizational skills.

  • Computer proficiency

  • Strong customer service, verbal and written communication skills

  • Comprehensive knowledge of insurance plans, member eligibility, and medical billing

  • Ability to work independently and collaboratively on assigned tasks and projects

    Premier Medical Group is an Equal Opportunity Employer
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