Professional Denials & Follow-up Representative - Partnership Services - Remote

Overview

This position is primarily responsible for resolving outstanding insurance account receivables, performing collection and billing activities, and communicating with various stakeholders to ensure payment.

In Short

• Resolve insurance account receivables.
• Perform collection and billing activities.
• Communicate with payors, clients, and external resources.
• Research accounts and verify insurance information.
• Follow-up on claims and appeal denials.
• Maintain knowledge of payor guidelines.
• Identify trends and report recommendations.
• Ensure compliance with laws and standards.
• Work effectively in a fast-paced environment.
• Provide excellent customer service to patients and stakeholders.

Requirements

• High School diploma or equivalent required.
• 1 year of related experience in healthcare or customer service.
• Preferred experience with EPIC system.
• Strong communication skills.
• Proficient in Windows applications.
• Ability to multi-task and handle stress.
• Reliable transportation for occasional travel.
• Knowledge of healthcare regulations.
• Effective problem-solving skills.
• Ability to work with diverse individuals.

Benefits

• Opportunity to make a difference in healthcare.
• Work in a supportive environment.
• Access to professional development.
• Competitive salary and benefits package.
• Recognition as a top workplace.
• Work from home flexibility.
• Inclusive workplace culture.
• Comprehensive healthcare coverage.
• Employee engagement initiatives.
• Support for work-life balance.