Insurance Patient Account Representative chez Bryn Mawr Medical Specialists Association
Bryn Mawr Medical Specialists Association · Bryn Mawr, États-Unis d'Amérique · Onsite
- Professional
- Bureau à Bryn Mawr
The Bryn Mawr Medical Specialists Association Business Office is looking to add two full-time Insurance Representatives to their team. As an Insurance Representative, your sole focus and responsibility will be your assigned physician(s) insurance A/R. This function will include, but not be limited to, timely follow up on claims rejected or denied by our clearinghouse and/or the patient's insurance carrier, completion of investigations and appeals according to the prescribed policies of the carrier, communication of corrections required by internal clinical and non-clinical departments including charge entry and registration staff and assisting patients in understanding their insurance related balances.
Functions/Responsibilities:
- Examination and timely follow up on unpaid claims
- Completions of investigations and/or appeals of rejected or denied claims
- Communication with department staff members regarding required items for claims corrections
- Identification of claims requiring managerial review and assistance
- Assisting patients in the understanding of insurance denials and/or their assigned cost sharing as needed
- Facilitate the identification or rejection and denial trends
- Make corrections to claims information including but not limited to CPT codes, DX codes, referrals, and authorizations as directed by the departments
- Completion of additional duties as assigned by management
Qualifications:
- High school diploma of GED required
- Previous insurance A/R experience preferred
- Ability to understand an insurance Explanation of Benefits including denial reason codes and the appropriate responses to those codes
- General knowledge of ICD-10 and CPT codes
- Customer Service
- Ability to communicate clearly and concisely
- Knowledge of insurances, coverage guidelines, and payment policie
- Self-starter with the ability to work independently in the furtherance of the goals of the team
- Experience with patient accounting and EMR software
- Intergy experience preferred
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Health insurance
- Paid time off
- Vision insurance
Ability to Relocate:
- Bryn Mawr, PA: Relocate before starting work (Required)
Work Location: In person
