Insurance Follow Up Representative

## About the Role The Insurance Follow Up Representative plays a vital role in ensuring the seamless processing of insurance claims and billing. This role is crucial in maintaining a positive relationship between the healthcare provider, patients, and insurance companies. As a representative, you will be working closely with various stakeholders to resolve any outstanding denials or rejections, verifying patient demographic information, and ensuring compliance with regulatory requirements. The day-to-day responsibilities of this role involve a deep understanding of medical billing processes, including ICD-10 and CPT coding. You will be utilizing digital skills to navigate through computer systems, including the GE patient management system, to manage claims and billing efficiently. As part of the HOPCo team, you will be expected to maintain high productivity and accuracy metrics, adhering to the company's AEIOU Behavioral Standards. This includes assuming full responsibility for reducing accounts receivable of insurance balances and analyzing accounts for proper claims processing and payment posting.

## What You Will Do - Review insurance denials and rejections to determine the next appropriate action steps - Verify patient demographic information and insurance eligibility - Update and confirm patient information as necessary to allow for the processing of claims to insurance plans - Research all necessary information to complete the billing process - Obtain and attach referrals/authorizations to appointments/charges - Maintain productivity and accuracy metrics per department expectations - Analyze accounts for proper claims processing and payment posting - Identify and communicate trends and potential issues to the management team - Follow and maintain all HOPCo policies and procedures

## What We Are Looking For - Minimum two to three years of experience in medical billing - Ability to communicate effectively with physicians, patients, and the public - Knowledge of computer systems, including the GE patient management system - Understanding of physician billing processes, ICD-10, and CPT coding - High school diploma or equivalent required - Experience with remote work environments - Digital skills, including proficiency in Microsoft Office

## Nice to Have - Experience with coordination of benefits and insurance eligibility - Familiarity with accounts receivable management - Knowledge of healthcare regulations and compliance

## Benefits and Perks - Opportunity to work with a renowned healthcare outcomes performance company - Remote work environment with flexible scheduling - Professional development opportunities - Access to the latest digital tools and technologies - Collaborative team environment - Competitive compensation package - Comprehensive health benefits - Paid time off and holidays

- Tip: Ensure your resume highlights your experience with medical billing and digital skills, as these are key requirements for the role.

• To stand out, prepare examples of times when you successfully resolved outstanding denials or rejections, and be ready to discuss your approach to maintaining high productivity and accuracy metrics.
• Familiarize yourself with the GE patient management system and be prepared to answer questions about your experience with similar systems.
• During the interview, ask about the company culture and what a typical day looks like in this role to demonstrate your interest in the position.
• Be prepared to discuss your understanding of ICD-10 and CPT coding, as well as your knowledge of healthcare regulations and compliance.
• Consider creating a portfolio that showcases your ability to work independently in a remote environment and your experience with digital tools.