INSURANCE ACCOUNT REPRESENTATIVE
full-time•Johnson City
About this role
Job DetailsJob Location: 19058 CENTRAL BILLING OFFICE - JOHNSON CITY, TN 37601Position Type: Full TimeJob Category: ClericalWHO WE ARE:
State of Franklin Healthcare Associates is a physician-led and team member-owned multi-specialty care group headquartered in Johnson City, TN with locations in the upper East Tennessee & Southwest Virginia region. Our mission is to improve the health and well-being of our patients and our team members.
PRIMARY RESPONSIBILITIES:
Review and appeal claim denials from third-party carriers as justified.
Comply with HCFA’s billing guidelines.
Follow-up on unpaid third-party carrier claims.
Proper documentation; operative notes, progress notes, consent forms, referral forms, and primary EOB’s.
Transfer unpaid insurance balances to the guarantor.
Answer patient phone calls and assist patients with resolving unpaid third-party claims.
Identify problem payers and report them to the CBO manager.
Balance all postings.
REQUIREMENTS:
High school diploma or GED.
EXPERIENCE:
Two years of insurance billing and follow-up experience in the medical field or additional related education may be substituted for the two years of insurance experience.
WHAT WE OFFER:
State of Franklin Healthcare provides a comprehensive and competitive total compensation package designed to meet the needs of our full-time team members to include:
Company Provided Life and Accidental Death and Dismemberment Insurance
Company Provided Long Term Disability Insurance
Employee Stock Ownership Plan
401(k) Company Contributions
Voluntary options for Medical, Dental, Vision, and additional Life Insurance.
Company match in Health Savings Account Plans (restrictions apply)
Vacation, Personal, Sick and Holiday Time Off
An array of team member perks and discounts
Tuition Assistance Programs
And more!
Qualifications
What you'll do
- The primary responsibilities include reviewing and appealing claim denials, following up on unpaid claims, and assisting patients with resolving unpaid third-party claims. Proper documentation and identifying problem payers are also key tasks.
About SOFHA EMPLOYMENT SERVICES INC
State of Franklin Healthcare Associates (SOFHA) is a physician-led and now employee-owned medical group with more than 30 medical practices located in East Tennessee and Southwest Virginia. Since its founding in 1998, SOFHA has provided state-of-the-art primary healthcare services to patients of all ages within the region. Our board-certified physicians, physician extenders, and medical staff strive to enhance the quality of life by providing excellent, patient-centered care.
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Frequently Asked Questions
What does a INSURANCE ACCOUNT REPRESENTATIVE do at SOFHA EMPLOYMENT SERVICES INC?
As a INSURANCE ACCOUNT REPRESENTATIVE at SOFHA EMPLOYMENT SERVICES INC, you will: the primary responsibilities include reviewing and appealing claim denials, following up on unpaid claims, and assisting patients with resolving unpaid third-party claims. Proper documentation and identifying problem payers are also key tasks..
Is the INSURANCE ACCOUNT REPRESENTATIVE position at SOFHA EMPLOYMENT SERVICES INC remote?
The INSURANCE ACCOUNT REPRESENTATIVE position at SOFHA EMPLOYMENT SERVICES INC is based in Johnson City, Tennessee, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the INSURANCE ACCOUNT REPRESENTATIVE position at SOFHA EMPLOYMENT SERVICES INC?
You can apply for the INSURANCE ACCOUNT REPRESENTATIVE position at SOFHA EMPLOYMENT SERVICES INCdirectly 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.