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Insurance Follow Up Representative

6032145

Billing/Follow up

Melville
992 North Village Avenue Rockville Centre, NY 11570

Full Time

Day shift

M-F 8-4

At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes. Catholic Health is also proud to be voted one of Newsday's Top Places to Work on Long Island in 2018 and 2019 and Modern Healthcare's Best Place to work in both 2019 and 2020. 

Under the direction of the Physician Revenue Realization Manager, the Insurance Follow-Up Representative is responsible for investigating claims status with insurance carriers, correcting and resubmitting denied claims in the EPIC billing system. Position is (4) days remote and (1) day office.

Responsibilities:

  • Performs follow up on all outstanding accounts assigned in accordance with established standards and procedures.
  • Determines reason for denial and appeals accounts as necessary.
  • Reviews and edits any rejections stemming from electronic billing submissions and corrects and resubmits claims.
  • Verifies accuracy of patient insurance and demographic information.
  • Generates bills to patients for services not covered by insurance.
  • Investigates over-payments and takes appropriate action to resolve. Initiates refund requests in accordance with departmental procedures.
  • Responds to requests for information and telephone inquiries from patients, insurance carriers, and outside agencies in a courteous manner.
  • Send secondary claims to appropriate payors.

Requirements:

  • High School diploma or equivalent required.
  • Strong knowledge of medical insurance and healthcare billing
  • Establishes and demonstrates competency in accounts receivable systems and associated applications
  • Ability to communicate effectively with insurance carriers, patients, and co-workers
  • Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm.
  • Excellent verbal and auditory skills are required for communicating with internal staff, customers and representatives from external departments and agencies.
  • Minimum of 3 years of Physician Billing experience, including insurance carrier follow up and customer service, required.

At Catholic Health Services of Long Island your well-being comes first, with comprehensive compensation and benefits; our offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and flexible spending accounts, we also offer substantial tuition reimbursement, an employer funded pension plan and several savings plan options for your future.