Job # 22847 Insurance Claims Follow-up Representative

Acclivity Healthcare - Your personal, proven partner!
Since 1999, Acclivity Healthcare has served the specialized recruiting and staffing needs of leading healthcare employers nationwide. Our clients range from independent physician practices to national healthcare systems and insurance providers. We are proud of our 18,000+ successful placements with quality-oriented organizations that recognize the value of better talent.

4 Open Positions!

About the Company
This well-known and successful healthcare system has remained a symbol of quality in Arizona for the past decade. They are one of the fastest growing medical management companies, and they have won numerous awards as a top healthcare employer because of the great work environment and commitment to the development of their employees. This fast-paced organization has an immediate need for several detail-oriented Insurance Claims Follow-up Representatives to join their team!

Responsibilities of the Insurance Claims Follow-up Representative
- Reviews insurance denials and rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding denials/rejections.
- Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
- Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
- Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff and patients.
- Obtains and attaches referrals/authorizations to appointments/charges.
- Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.
- Assumes full responsibility of reducing the accounts receivable of insurance balances by working through outstanding accounts.
- Analyzes accounts for proper claims processing and payment posting through inquiries from patients or staff.
- Identifies and communicates trends and/or potential issues to management team.
- Follows and maintains all company policies

Required Qualifications of the Insurance Claims Follow-up Representative
- 2+ years of recent medical billing experience
- High School Diploma or GED required
- Must successfully pass a criminal background check and drug screen

Compensation and schedule for the Insurance Claims Follow-up Representatives
Insurance Claims Follow-up Representative – Full-time, $19-$20 per hour, Monday-Friday, 8am to 4:30pm. Flexible to start between 730am and 830am.

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