Insurance Follow-up Representative Job at Southeast Orthopedic Specialists
Southeast Orthopedic Specialists began in 2001 with the mission to make industry-leading five-star orthopedic and spine care accessible to Northeast Florida. That mission has been driven by our ability to continually innovate and to offer the most advanced treatment options anywhere in the region. Our reach will continue to expand to meet the needs of all patients, present and future.
As Southeast Orthopedic Specialists continues to grow, we are currently hiring Insurance Follow-Up Representative's at our Central Business Office in Jacksonville, FL! Listed below are specified benefits and compensation rates offered to Full-Time employees in this position:
** THIS IS NOT A REMOTE POSITION, AS IT REQUIRES YOU TO BE PRESENT IN THE OFFICE MONDAY THROUGH FRIDAY **
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INSURANCE FOLLOW-UP REPRESENTATIVE | FULL-TIME | $15+/hour |NOT REMOTE
- Competitive Health & Welfare Benefits
- Monthly $43 stipend to use toward ancillary benefits
- HSA with qualifying HDHP plans with company match
- 401k plan after 6 months (with company match Part-time employees included)
- Employee Assistance Program that is available 24/7
- Employee Appreciation Days & Events
- Paid Holidays & Paid Time Off
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ESSENTIAL FUNCTIONS
- 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.
- 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.
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EDUCATION
- High school diploma or equivalent GED preferred. High school diploma/GED or equivalent working knowledge preferred.
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EXPERIENCE
- Minimum two to three years of experience in medical billing.
- Must be able to communicate effectively with physicians, patients and the public and be capable of establishing good working relationships with both internal and external customers.
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KNOWLEDGE
- Knowledge of the physician billing processes, ICD-10 and CPT coding.
- Knowledge of computer systems. Experience with GE patient management system preferred.
- Advanced computer knowledge, including Window based programs.
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SKILLS
- Skill in customer service and an understanding of The CORE code of conduct and culture.
- Skill in using computer programs and applications including Microsoft Excel, Microsoft Word and Outlook.
- Skill in establishing good working relationships with both internal and external customers.
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ABILITIES
- Ability to multi task in a fast-paced environment. Must be detailed oriented with strong organizational skills.
- Ability to understand patient demographic information and determine insurance eligibility.
- Ability to work independently and demonstrate the ability to analyze data.
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ENVIRONMENTAL WORKING CONDITIONS
- Normal office environment.
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PHYSICAL/MENTAL DEMANDS
- Requires sitting and standing associated with a normal office environment.
- Combination of bending, lifting and transferring activities.
- Manual dexterity using a calculator and computer keyboard.
~ VISIT OUR WEBSITE FOR MORE INFORMATION - WWW.SE-ORTHO.COM ~
** This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve **
Job Type: Full-time
Pay: $15.00 - $16.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Education:
- High school or equivalent (Required)
Experience:
- Medical billing: 2 years (Required)
- Insurance verification: 1 year (Required)
Language:
- English (Required)
Work Location: One location
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