Insurance Follow-up Rep

Job Title: Insurance Follow-Up Representative

Location: Tulsa, OK

Schedule: Monday to Friday, 8 AM to 5 PM

Pay Range: $16- $18 per hour

Job Summary:

We are seeking a dedicated Insurance Follow-Up Representative to join our team. This role is essential for ensuring timely follow-up on insurance claims, enhancing our billing processes, and maintaining strong relationships with both insurance providers and our clients. The ideal candidate will have excellent communication skills and a keen attention to detail.

Key Responsibilities:

Review and follow up on outstanding insurance claims to ensure timely resolution.

Communicate effectively with insurance companies, healthcare providers, and patients regarding claim statuses and inquiries.

Document all interactions and updates in our billing system accurately.

Identify and resolve any discrepancies in claims, working to rectify issues efficiently.

Assist in the verification of insurance benefits and eligibility for patients.

Collaborate with the billing department to streamline processes and improve collections.

Stay informed about changes in insurance policies and regulations.

Provide exceptional customer service and support to patients and insurance representatives.

Qualifications:

High school diploma or equivalent; additional education in healthcare or insurance is a plus.

Previous experience in insurance follow-up or medical billing preferred.

Strong communication and interpersonal skills.

Detail-oriented with strong organizational abilities.

Proficient in using billing software and Microsoft Office Suite.

Ability to work independently and as part of a team.

****CLIENT PAYS 100% OF BENEFITS****

#BA

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* Process new insurance policies, modifications to existing policies, and claims forms. Obtain information from policyholders to verify the accuracy and completeness of information on claims forms, applications and related documents, and company records. Update existing policies and company records to reflect changes requested by policyholders and insurance company representatives.
* Prepare insurance claim forms or related documents, and review them for completeness.
* Calculate amount of claim.
* Post or attach information to claim file.
* Transmit claims for payment or further investigation.
* Contact insured or other involved persons to obtain missing information.
* Review insurance policy to determine coverage.
* Process and record new insurance policies and claims.
* Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
* Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
* Correspond with insured or agent to obtain information or to inform them of account status or changes.
* Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.
* Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.
* Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.
* Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts.
* Notify insurance agent and accounting department of policy cancellation.
* Pay small claims.
* Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.
* Collect initial premiums and issue receipts.
* Check computations of interest accrued, premiums due, and settlement surrender on loan values.
* Interview clients and take their calls to provide customer service and obtain information on claims.
* Obtain computer printout of policy cancellations, or retrieve cancellation cards from file.
* Compose business correspondence for supervisors, managers, and professionals.
* Apply insurance rating systems.
* Calculate premiums, refunds, commissions, adjustments, or new reserve requirements, using insurance rate standards.
* Enter insurance- and claims-related information into database systems.
* Modify, update, or process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
* Organize or work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.

Salary : $16 - $18