Insurance Agent job at Receivable Solutions, LLC. in Columbia, SC 29210

Job Description

Job Summary:

The (Local)Medical Insurance Follow Up representative is responsible for obtaining, verifying and collecting insurance information from patients and client reports. Additionally, the Insurance Follow Up Representative is responsible for uploading to client system and following up with insurance companies for timely payments.

ESSENTIAL JOB FUNCTIONS:

Answers questions from patients, clerical staff and insurance companies

3-5 years of insurance follow-up experience in a hospital or physician’s office setting is preferred

Identifies and resolves patient billing complaints

Thorough understanding of CPT, DRG, HCPC, Procedure and Revenue codes, modifiers and their effect on reimbursement

Experience with filing UB-04 and HCFA 1500 claim forms

Performs various collection actions including contacting patients by phone, updating insurance information, and follow through on insurance process

Maintain excellent customer service relationships to ensure customer satisfaction

Initiate and perform additional billing responsibilities to meet set goals

Analyze the unpaid claims and denials and identify/investigate the reasons for nonpayment and which action is needed to resolve timely

Study and understand contractual terms and conditions of payment. Make sure payments are consistent with the terms.

Make changes in the client’s system, if required such as contact details, financial status, etc.

Maintenance of assigned departmental feel goals. Rsi reserves the right to modify the fee/commission structure per client and organizational needs. However, should this occur the individual(s), will receive proper notification.

Performs other related duties as assigned.

Required Skills/Abilities:

Ability to resolve insurance denials and file appeals with government and commercial carriers

Excellent verbal and written communication skills.

Ability to handle and maintain confidential information.

Strong work ethic

Education and Experience:

High School Diploma required
Minimum of 3-5 years of insurance billing and follow-up experience

Physical Requirements:

Prolonged periods sitting at a desk and working on a computer.
Must be able to lift up to 15 pounds at times.

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Insurance Agent Job at Receivable Solutions, LLC., Columbia, SC 29210

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