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$16/hr–$23/hr
Other
high school, professional certificate
Posted 2d ago
Apply by Aug 10
~40 hrs/week
Responsibilities
The Insurance Follow Up Rep is responsible for resolving unpaid insurance claims and collecting outstanding balances from third-party payers. This role involves reviewing denials, submitting appeals, and rectifying billing errors to optimize revenue recovery.
Requirements
Candidates must have a high school diploma or GED, with a preference for a post-high school program in medical billing. Two years of experience in revenue cycle management or a related field is preferred.
Full job description
Where You’ll Work
CommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI™, CMS, Healthgrades®, Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence.
Job Summary and Responsibilities
As an Insurance Follow Up Rep, you will resolve unpaid insurance claims and collect outstanding balances from third-party payers.Every day you will review denials, initiate follow-up with insurers, rectify billing errors, submit appeals, and negotiate for maximum reimbursement.To be successful, you will understand billing regulations, possess strong problem-solving skills, and communicate effectively to optimize revenue recovery.
Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers.
Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received.
Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements.
Resubmits claims with necessary information when requested through paper or electronic methods.
Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify.
Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels.
Job Requirements
Required
High School Graduate, upon hire or
High School GED, upon hire
Preferred
Other Graduation from a post-high school program in medical billing or other business-related field and Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities.
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 138 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 160,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $5 billion annually in charity care, community benefits, and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Learn more at commonspirit.org.
Offices: 444 W Lake St, Chicago, Illinois 60606-0097, US · Phoenix, AZ, US · Chandler, AZ, US · Gilbert, AZ, US · Glendale, AZ, US
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 138 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 160,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $5 billion annually in charity care, community benefits, and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Learn more at commonspirit.org.
Offices: 444 W Lake St, Chicago, Illinois 60606-0097, US · Phoenix, AZ, US · Chandler, AZ, US · Gilbert, AZ, US · Glendale, AZ, US