What are the responsibilities and job description for the Insurance Follow-Up Representative position at APN Software Services, Inc?
Hello,
My name is Rohan Chauhan and I am a Staffing Specialist at APN Software Services Inc. I am reaching out to you on an exciting job opportunity with one of our clients.
Client: Froedtert Health
Title: Insurance Follow-Up Rep - FCH
Req #: 35804582
Location: N74 W12501 Leatherwood Ct, Woodland Prime 400, Menomonee Falls, WI 53051
Duration: 3 Months Contract
Shift: M-F 40 hours/week
Insurance follow up experience preferred, attention to detail, Insurance website experience preferred, Epic experience preferred
DUTIES:
Responsible for researching and resolving all unpaid insurance claims and following up on all customer inquiries/complaints related to unpaid balances.
Other duties as assigned.
Answers patient calls and researches and responds to patient concerns within 24 working hours.
Maintains knowledge of complex reimbursement methodologies in Managed Care contracts including DRG, per diem, per visit, fee schedule and surgical group methodologies.
Applies knowledge for accurate resolution of claims within contract terms.
Uses knowledge of hospital policy, department procedures, Wisconsin Uniform Billing Regulations (UB04 Mannual), HMO/PPO agreements and other contractual arrangements to maintain accounts receivable, manage commercial payors, and manage appeals.
Serves as back-up to person primary on taking incoming calls. Monitors que light to ensure minimal wait times for patients in call que.
Identifies denial trends and reports issues to Insurance Follow-up Coordinator/Insurance Follow-up Supervisor for escalation with payer liaisons
Participates in cross-training efforts for specific systems based on goals set by the PFS department.
Addresses accounts qualifying to workstation within one week utilizing system specific follow up procedures.
Coordinates efforts with ancillary departments as needed in a timely manner for effective resolution.
Updates new insurance information received on an account to reflect accurate insurance plan coding to ensure accurate statements are mailed to patients.
Uses transaction codes specific to each system and links those to UB 1500 bills and agreements to process follow-up functions.
Updates and verifies payor specific account information.
SKILLS:
Two years of business office experience in billing, customer service, or collections in a healthcare environment is required.
EDUCATION:
High School diploma or equivalent is required.
Regards,
Rohan Chauhan.
APN Software Services Inc
39899 Balentine Dr, Suite 385
Newark, CA 94560
Phone: 510-870-1008
Fax: 510-623-5055
Email: rohan@apninc.com
LinkedIn: https://www.linkedin.com/in/born-to-dominate/
“Ranked Top Work Places 2020” (Ranked Top Work Places 8 years in a row)
“Certified Minority Business”
“Ranked Top 50 Organizations for Diversity”
“Ranked Top 2012 Diversity Business”
Job Type: Contract
Pay: $23.80 - $24.63 per hour
Expected hours: 40 per week
Schedule:
- 8 hour shift
- Day shift
Ability to Commute:
- Menomonee Falls, WI 53051 (Required)
Ability to Relocate:
- Menomonee Falls, WI 53051: Relocate before starting work (Required)
Work Location: In person
Salary : $24 - $25
