14 Jobs in Menomonee Falls, WI
APN Software Services, Inc is Hiring an Insurance Follow-Up Representative Near Menomonee Falls, WI
Location: Menomonee Falls, WI 53051
Duration: 2-3 Months Contract
Shift: M-F 40 hours/week (8:00 4:30)
Duties
- Responsible for researching and resolving all unpaid insurance claims and following up on all customer inquiries/complaints related to unpaid balances.
- 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.
EducationHigh School diploma or equivalent is required.
Job Summary
Full Time
IT Outsourcing & Consulting
$45k-49k (estimate)
06/08/2024
07/02/2024
apninc.com
NEWARK, CA
25 - 50
1996
Private
ASLAM CHANDIWALLI
$10M - $50M
IT Outsourcing & Consulting
Related Companies
The job skills required for Insurance Follow-Up Representative include Customer Service, Billing, etc. Having related job skills and expertise will give you an advantage when applying to be an Insurance Follow-Up Representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Insurance Follow-Up Representative. Select any job title you are interested in and start to search job requirements.
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