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Career Opportunities


Insurance Follow-up Representative (Oakland Park, FL)

Location: CCS- South Florida
Job Code: 13
# of Openings: 3

Description

The Insurance Follow-up Representative is responsible for all insurance follow-up on assigned accounts from the PAS management team.  The core responsibilities of an insurance follow-up representative include research, insurance billing and adjustment identification to ensure proper account resolution.  This position requires the ability to work independently, accomplish goals, excellent customer service and communication skills, creativity, patience and flexibility. The Insurance Follow-up Representatives usually report to the department lead or supervisor.

Requirements:

  • High school diploma or equivalent. 
  • A minimum of two years previous work experience as an insurance follow-up representative is required. 
  • Must have full understanding of insurance follow-up processes (i.e. Billing, Collections, Managed Care, Medicare, Medicaid and Commercial Practices), and well-developed interpersonal skills.

Required Job Knowledge & Skills:

  • Excellent verbal and written communication skills
  • Reliable attendance record
  • Knowledge of EOBs, CPT & ICD-9 codes, HCFAs, UB92s, HCPCS, DRGs and authorizations/referrals
  • Good problem solving skills
  • Ability to learn / stay abreast of relevant policies
  • Computer literate / able to use basic functions of a computer
  • Ability to type a minimum of 30 wpm
  • Detail oriented and well organized
  • Outstanding listening skills
  • Ability to perform under pressure in a calm manner
  • Basic math skills
  • High degree of accuracy
  • Positive attitude
  • Flexible
  • Team play

Core Responsibilities & Job Functions:

  • Obtain Claim Status via the Telephone, Internet and/or Fax
  • Review and Interpret Contractual Terms for Managed Care, Commercial, Medicare, Medicaid and Workers’ Compensation
  • Obtain Supporting Documentation Regarding Insurance Follow-up Efforts
  • Identify Contractual and Administrative Adjustments 
  • Billing via Electronic and Hardcopy Submission




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