What are the responsibilities and job description for the Third Party Insurance Follow Up position at Medisys Management, LLC?
A Health Care Receivable Management Company is seeking an experienced Full Time Third Party Insurance Follow Up Representative to work in our Melville (Long Island) location.
Summary of Responsibilities & Skill Requirements:
- Knowledge of Medicare/Medicaid Governmental Benefits & Regulations
- Strong knowledge of Medical Insurance Coverage’s, Third Party Billing regulations and familiar with N.Y.S. Financial Aid Regulations.
- Submit Primary/Secondary Insurance and Follow-up on same.
- Ability to work a minimum of 50 accounts per day.
- Place Out Bound Calls To Insurance for Status of Outstanding Claims.
- Analyze Remittance/Explanation of Benefits.
- Determine Correct Payment According To Hospital/Payer Contract.
- Determine Patient Responsibility.
- Submit Adjustment Claims, Submit Appeals for Underpayment and/or Denials.
- Verify Insurance Coverage, Contact Guarantor Regarding Insurance Discrepancies.
- Follow guideline for MSPQ (Medicare Secondary Payer Questionnaire) Processing.
- Ability to work flexible hours as determined by management.
- Strong communication, documentation, follows up, analytical and computer skill sets.
- Familiarity with the Hospital’s Epic System. Ability to accurately update patient accounts, update insurance information, initiate insurance billing,
- Performs other job related duties, as required and assigned.
- Willing to train candidates with a documented employment history.
Qualifications:
- 1-2 Years prior Healthcare/Hospital Accounts Receivable or any appropriate combination
- of education and experience. Knowledge of EPIC Hospital Patient Accounting System, preferred. Knowledge of HIPAA
- Excellent written and oral communication skills.
- Computer literate.
- Ability to prioritize and multi-task with strong organizational and analytical skills.
- Ability to work independently on assigned tasks, and accept direction.
- Participation in all educational activities, seminars, and webinars.
Job Type: Full-time
Pay: $23.46 - $28.26 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Paid time off
- Parental leave
- Referral program
- Retirement plan
- Tuition reimbursement
- Vision insurance
Ability to Commute:
- Melville, NY 11747 (Required)
Work Location: In person
Salary : $23 - $28
