What are the responsibilities and job description for the Insurance Follow-up Specialist position at Health Partners Management Group INC?
SUMMARY: The Insurance Follow-up Representative position is responsible for all insurance follow-up on assigned accounts from the management team. The core responsibilities of an insurance follow-up representative include research, insurance billing and adjustment identification to ensure proper account resolution.
SCHEDULE: Monday-Friday 8 am - 4:45 pm
BENEFITS:
PTO
Sick time
7 paid holidays
Company paid medical insurance (employee only coverage)
Dental
Vision
Life Insurance
ESSENTIAL DUTIES/RESPONSIBILITIES:
1. Obtain Claim Status via the telephone, internet and/or fax
2. Review and interpret contractual terms for Managed Care, Commercial, Medicare, Medicaid and Workers’ Compensation
3. Obtain supporting documentation regarding insurance follow-up efforts
4. Identify contractual and administrative adjustments billing via electronic and hard copy submission
EDUCATION: High school diploma or equivalent.
EXPERIENCE: A minimum of two years previous work experience as an insurance follow-up representative or Accounting is required. Must have full understanding of insurance follow-up processes (i.e., Billing, Collections, Managed Care, Medicare, Medicaid, and Commercial Practices), and well-developed interpersonal skills.
SKILLS:
1. Excellent verbal and written communication skills
2. Reliable attendance record
3. Knowledge of EOBs, CPT and ICD-9 codes, HCFAs, UB92s, HCPCS, DRGs and authorizations/referrals
4. Good problem-solving skills
5. Ability to learn / stay abreast of relevant policies
6. Proficient computer skills
7. Ability to type a minimum of 40 wpm
8. Detail oriented and well organized
9. Outstanding listening skills
10. Ability to perform under pressure in a calm manner
11. Basic math skills
12. High degree of accuracy
WORK ENVIRONMENT/PHYSICAL REQUIREMENTS: The work is primarily sedentary. However, there may be some physical demands. Requirements include prolonged walking, standing, sitting or bending.
About Health Partners Management Group INC
Health Partners Management Group, Inc. works with the medical community to offer comprehensive revenue cycle management. HPMG has over 20 years of experience with provider-based and independent Rural Health Clinic billing. In addition, we provide a multitude of services for the Department of Defense’s Defense Health Agency on military installations throughout the world. EEOC statement – “Health Partners Management Group is an Equal Opportunity Employer and is strongly committed to workplace diversity as a pillar of our continued success. Our recruiting, hiring, and development programs help to keep our organization energized with passion and innovation by ensuring we employ the best people from diverse backgrounds.”
