What are the responsibilities and job description for the Insurance Account Representative position at Bryn Mawr Medical Specialists Association?
The Bryn Mawr Medical Specialists Association Business Office is looking to add two full-time Insurance Representatives to their team. As an Insurance Representative, your sole focus and responsibility will be your assigned physician(s) insurance A/R. This function will include, but not be limited to, timely follow up on claims rejected or denied by our clearinghouse and/or the patient's insurance carrier, completion of investigations and appeals according to the prescribed policies of the carrier, communication of corrections required by internal clinical and non-clinical departments including charge entry and registration staff and assisting patients in understanding their insurance related balances.
Functions/Responsibilities:
- Examination and timely follow up on unpaid claims
- Completions of investigations and/or appeals of rejected or denied claims
- Communication with department staff members regarding required items for claims corrections
- Identification of claims requiring managerial review and assistance
- Assisting patients in the understanding of insurance denials and/or their assigned cost sharing as needed
- Facilitate the identification or rejection and denial trends
- Make corrections to claims information including but not limited to CPT codes, DX codes, referrals, and authorizations as directed by the departments
- Completion of additional duties as assigned by management
Qualifications:
- High school diploma of GED required
- Previous insurance A/R experience preferred
- Ability to understand an insurance Explanation of Benefits including denial reason codes and the appropriate responses to those codes
- General knowledge of ICD-10 and CPT codes
- Customer Service
- Ability to communicate clearly and concisely
- Knowledge of insurances, coverage guidelines, and payment policie
- Self-starter with the ability to work independently in the furtherance of the goals of the team
- Experience with patient accounting and EMR software
- Intergy experience preferred
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Health insurance
- Paid time off
- Vision insurance
Ability to Relocate:
- Bryn Mawr, PA: Relocate before starting work (Required)
Work Location: In person
