Insurance Representative

Altru Health System Clinic Grand Forks , ND 58202

Posted 2 months ago

The Insurance Representative assists patients with inquiries for the clinic and hospital billing system and reviews and submits insurance claims. The Representative processes and monitors insurance unpaid third-party insurance. Must understand and be able to work account throughout the entire revenue cycle, ensuring proper payment is made. Secures necessary medical documentation require or requested by payers. This position tracks pending and unpaid claims and works credit balances and payment work queues. # Description


Reviews and monitors insurance unpaid third party insurance and denials to ensure proper payment


.# Keeps up to date on all state/federal billing requirements.# Reviews, edits, prepares and submits insurance claims to the appropriate party.# Assists patients with their written, telephone or in person inquiries for the clinic and hospital billing system.# Tracks pending eligibility and unpaid claims from the work queue. Works credit balances and under payment work queues. Completes work within authorized time to assure compliance with departmental standards.# Performs other duties as assigned or needed to meet the needs of the department/organization.


Experience:


Associates in Business Preferred Minimum one year of related experience preferred

The Insurance Representative assists patients with inquiries for the clinic and hospital billing system and reviews and submits insurance claims. The Representative processes and monitors insurance unpaid third-party insurance. Must understand and be able to work account throughout the entire revenue cycle, ensuring proper payment is made. Secures necessary medical documentation require or requested by payers. This position tracks pending and unpaid claims and works credit balances and payment work queues.

Description

  • Reviews and monitors insurance unpaid third party insurance and denials to ensure proper payment.

  • Keeps up to date on all state/federal billing requirements.

  • Reviews, edits, prepares and submits insurance claims to the appropriate party.

  • Assists patients with their written, telephone or in person inquiries for the clinic and hospital billing system.

  • Tracks pending eligibility and unpaid claims from the work queue. Works credit balances and under payment work queues.

  • Completes work within authorized time to assure compliance with departmental standards.

  • Performs other duties as assigned or needed to meet the needs of the department/organization.

Experience:

Associates in Business Preferred

Minimum one year of related experience preferred

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Insurance Representative

Altru Health System Clinic