Insurance Follow Up Representative (Chattanooga Heart, Main) Full Time - First Shift (2510005245)

Company Name:
Catholic Health Initiatives
Insurance Follow Up Representative (Chattanooga Heart, Main) Full Time - First Shift (2510005245)-1400009061
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Description
Job Summary:
Responsible for follow-up of insurance to include: claims submitted, appeal processes and inquiries; monthly accounts receivable reports to ensure timely and maximum reimbursement from assigned insurance carriers.
Essential Duties:
Field patient and insurance calls regarding patient accounts receivable.
Audit patient accounts for accuracy regarding charges, payments, demographics, insurance information and filing to ensure contractual agreements are being met.
Request adjustments, write-off, payment, transfers and refunds/recoups when appropriate.
Work insurance aging reports, review claims status, patient eligibility, accuracy of account information and modify as needed.
Submit patient claims, paper and electronic, after corrections have been made or when re-billing is needed.
Review and reply to all insurance correspondence.
Maintain current knowledge of insurance guidelines through newsletters and websites.
Other duties as assigned.
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Qualifications
Education:
High school diploma/GED
Experience:
Two (2) or more years in health insurance processing; medical office preferred
License/Certification:
None Required
Additional Responsibilities:
Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
Adheres to and exhibits our core values:
Reverence: Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us.
Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness.
Compassion: Feeling with others, being one with others in their sorrows and joys, rooted in the sense of solidarity as members of the human community.
Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.
Maintains confidentiality and protects sensitive data at all times.
Adheres to organizational and department specific safety standards and guidelines.
Works collaboratively and supports efforts of team members.
Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community.
Catholic Health Initiatives and its organizations are Equal Opportunity Employers/CB
Job: Administrative and Clerical
Primary Location: TN-Chattanooga-Chattanooga Heart - Main
Shift: 1
Scheduled Hours per 2-week Pay Period: 80
Weekends Required: Occasional
Status: Full Time
Req ID: 1400009061

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