PE
Insurance Representative I
full-time•Greenville
About this role
Insurance Representative
FLSA: Non-Exempt
About us
Physicians East, P.A.is a team of skilled healthcare professionals united to meet the challenge of delivering quality, cost-efficient, comprehensive healthcare to the people of Eastern North Carolina.
About the role
We are looking for an employee who poses the qualities to review claim edits for submission to insurance carries. Review and work A/R reports which includes review of outstanding pending claims (primary, secondary, and tertiary) credit accounts and patient billing. Contact insurance companies to verify and resolve any claim issues which includes review of denials. Identify and monitor denial trends and report findings to insurance supervisor. Maintain working knowledge of all insurance carries guidelines. Communicate effectively with insurance carriers, insurance and billing staff and management.
Supervision Received: Reports to Insurance and Billing Supervisor.
Supervision Exercised: None.
Typical Physical Demands: Requires prolonged standing or sitting while working in an office environment. Requires some bending or stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, and other office equipment.
Typical Working Conditions:
Normal office environment.
Responsibilities
Review of claim edits for submission to Insurance carrier
Review of A/R reports which includes outstanding pending claim, insurance/patient credits and patient billing
Contact insurance companies to verify and resolve claim issues and denials
Verification of insurance eligibility and benefits
Utilization of insurance web-based resources
Thorough examination of patient accounts to ensure account accuracy
Identify and monitor denial trends and report findings to management
Maintain working knowledge of all insurance carriers’ guidelines
Review and complete tasks assigned from Practice Management System
Communicate effectively with insurance carriers, billing staff and management
Location & commitments
Full-time role based at our Greenville Arlington Blvd. location, Monday-Friday, 8a.m. – 5 p.m.
Overtime may be required to ensure patients are taken care, tasks are completed, and calls are returned in a timely manner.
Weekend work is rare but can occasionally be necessary.
Candidate requirements
Minimum of 1-3 years’ experience in insurance and billing setting and or appropriate college education required. Knowledge of Nextgen would be helpful but not required. Working knowledge of PC and Window bases products. Accuracy in key punch operations including adding machine. Must have a strong sense of team commitment, which includes meeting deadlines, punctuality, and excellent follow through and feedback. Must display a high level of integrity and initiative.
Affirmative Action/EEO statement
Physicians East, P.A.is an equal opportunity employer and will not discriminate against any applicant or employee on the basis of age, race, color, ethnicity, religion, creed, sex (including gender, pregnancy, sexual orientation, and gender identity, which includes status as a transgender individual), national origin or ancestry, citizenship, past, current, or prospective service in the uniformed services, genetic information (including family medical history), physical or mental disability, or other legally protected status. Reasonable accommodation will be made for persons with disabilities during the application process and/or at the time of employment. Requests for accommodation should be made to the Human Resources Department as early as possible in the application/employment process. Contact HR Office at 252-413-6368 or email [email protected]
Disclaimer
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Signatures
This job description has been approved by:
Manager_____________________________________ Date ____________
HR__________________________________________ Date _________________
Employee signature below indicates the employee's understanding of the requirements, essential functions, and duties of the position.
Employee______________________________________ Date__________________
What you'll do
- The Insurance Representative I is responsible for reviewing claim edits, working on A/R reports, and contacting insurance companies to resolve claim issues. They will also identify denial trends and maintain knowledge of insurance guidelines.
About Physicians East
Physicians East, PA is eastern North Carolina’s largest private multi-specialty health care practice with over 100 providers caring for patients in Greenville, Farmville, Winterville, Kinston and Beulaville. Physicians East offers Primary Care services at six of their ten locations. Sub-specialists include cardiology, dermatology, endocrinology, gynecology, gastroenterology, hematology, oncology, obstetrics, pulmonary care, rheumatology, sleep medicine, colorectal and general surgery. Physicians East operates its own AAAHC (Accreditation Association of Ambulatory Health Care, Inc.) surgical endoscopy center, a Sleep Center, a fully staffed Urgent Care Center with on-site x-ray and laboratory services for walk-in and after hours care, and provides outreach services in nearby community hospitals.
Since 1965, Physicians East’s physicians and staff have worked together to build a reputation of excellence in individualized, comprehensive, patient-focused health care. Through its dedicated and committed staff, Physicians East sets the benchmark for providing the highest quality and most innovative medical care available.
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Frequently Asked Questions
What does a Insurance Representative I do at Physicians East?
As a Insurance Representative I at Physicians East, you will: the Insurance Representative I is responsible for reviewing claim edits, working on A/R reports, and contacting insurance companies to resolve claim issues. They will also identify denial trends and maintain knowledge of insurance guidelines..
Is the Insurance Representative I position at Physicians East remote?
The Insurance Representative I position at Physicians East is based in Greenville, North Carolina, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the Insurance Representative I position at Physicians East?
You can apply for the Insurance Representative I position at Physicians Eastdirectly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.