HCA Charlotte , NC 28201
Client Insurance Representative
Medical Insurance follow-up, claimsresearch.
Client Insurance Representative opportunity Now hiring!!
Are you good with people? Have experience researching medical claims?
Do you want to join a growingorganization that needs good people?
Parallon is a growing organization supporting oneof the largest healthcare systems in the country offering Career advancement,learning opportunities and great employee benefits!
Process medical insurance accounts toaddress claim issues and to affect payment and/or bringing them to resolution.Research claim status with carriers via various portals to reach resolution andpayment of claims.
Essential Job Functions:
1.Status account and document all work performed in thecompany and client computer systems.
2.Assess accounts to determine the next appropriate courseof action in line with company policies and procedures.
3.Place outbound calls to insurance companies, guarantors,patients, doctors' offices and/or facilities and handle incoming calls asnecessary utilizing proper customer service protocol.
4.Process related correspondence from insurance companiesand perform pertinent follow-up.
5.Reconcile balances and payments between insurancecompanies and clients computer systems.
6.Escalate issues to Team Lead or Manager as necessary.
7.Other duties as assigned by management
8.Duties may vary by location
9.May be asked to share knowledge with co-workers.
Experience on resume with the following systems helpful, butnot required:
GE practice management systems IDX, NextGen, Centricity,TES/ETM webflow experience; E-Clinical; Next Gen PM system; and MedicalManager, Epic, Touch Works, Signature, EPIC, Tiger and Emdeon
Experience with anesthesiology helpful, but not required.
Medical and insurance terminology (such asprocedure codes, diagnoses, and patient liability), and full understanding ofhospital/physician billing. Ability to read and understand EOB statements.Understanding of co-pay, co-insurance, primary and secondary payer in regardsto medical insurance coverage, paper and electronic claims processing.
Education: Highschool diploma or equivalent
Experience: Minimum1-2 years experience in Medical Billing/Follow-up for a facility, medicalclinic, or doctor's office and experience with Microsoft Office suite andstandard office equipment (copier, fax machine) a must.
Skills/Aptitudes: Demonstrated communication and problem solving skills and the ability toact/decide accordingly.
Ability tocollect, create and research complex or diverse information. Exceptional customer service and the abilityto plan organize and exercise sound judgment.