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Check with seller INSURANCE REPRESENTATIVE Jackson

Published date: April 3, 2022
  • Location: Jackson, Mississippi, United States

CHARACTERISTICS OF WORK:
This is professional/clerical work involving the submission, collection, and follow-up of patient insurance claims. Work includes customer service with patients, insurance companies, as well as other outside entities, and assisting with claims resolution.

MINIMUM QUALIFCATIONS:
Computer skills
Phone etiquette
Interpersonal skills
Insurance claims experience
Insurance claims reporting
Hospital and/or medical facility setting work experience

ESSENTIAL FUNCTIONS:
Follow-up on all outstanding insurance accounts within a timely manner.
Research denials/underpayments/rejections and requests/inquiries from insurance payers within standard billing cycle timeframe.
Submit corrected claims and process all claim appeals.
Ensure appropriate supporting documentation is received and complete to ensure accurate and timely processing of claims.
Research and perform all secondary billing.
Possess full understanding of EOBs to ensure payment accuracy and compliance with contract discount.
Review and recommend claims for adjustment/write off to management.
Communicate with payers about re-filing claims that were underpaid due to plan/provider errors. Use tracking system to follow up on re-filed claims with plans to ensure complete resolution.
Researching insurance credits and insurance refund requests
Other duties as assigned and directed by team management.

EXPERIENCE / EDUCATIONAL REQUIREMENTS:
Education:
Graduate of four-year high school or equivalent (GED).

Experience:
One year experience related to the described duties.

Behaviors
Required
Team Player: Works well as a member of a group
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Dedicated: Devoted to a task or purpose with loyalty or integrity
Motivations
Required
Goal Completion: Inspired to perform well by the completion of tasks
Preferred
Financial: Inspired to perform well by monetary reimbursement

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