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INSURANCE REPRESENTATIVE
INSURANCE REPRESENTATIVEMississippi Staffing • Pearl, MS, US
INSURANCE REPRESENTATIVE

INSURANCE REPRESENTATIVE

Mississippi Staffing • Pearl, MS, US
6 days ago
Job type
  • Full-time
Job description

Insurance Representative

This is professional / clerical work involving the submission, collection, and follow-up of patient insurance claims. Work includes customer service with patients, insurance companies, as well as other outside entities, and assisting with claims resolution.

Minimum Qualifications :

  • Computer skills
  • Phone etiquette
  • Interpersonal skills
  • Insurance claims experience
  • Insurance claims reporting
  • Hospital and / or medical facility setting work experience

Essential Functions :

  • Follow-up on all outstanding insurance accounts within a timely manner.
  • Research denials / underpayments / rejections and requests / inquiries from insurance payers within standard billing cycle timeframe.
  • Submit corrected claims and process all claim appeals.
  • Ensure appropriate supporting documentation is received and complete to ensure accurate and timely processing of claims.
  • Research and perform all secondary billing.
  • Possess full understanding of EOBs to ensure payment accuracy and compliance with contract discount.
  • Review and recommend claims for adjustment / write off to management.
  • Communicate with payers about re-filing claims that were underpaid due to plan / provider errors.
  • Use tracking system to follow up on re-filed claims with plans to ensure complete resolution.
  • Researching insurance credits and insurance refund requests
  • Other duties as assigned and directed by team management.

    • Experience / Educational Requirements :

  • Education : Graduate of four-year high school or equivalent (GED).
  • Experience : One year experience related to the described duties.

    • Qualifications :

  • Behaviors Required :
  • Team Player : Works well as a member of a group
  • Detail Oriented : Capable of carrying out a given task with all details necessary to get the task done well
  • Dedicated : Devoted to a task or purpose with loyalty or integrity
  • Motivations Required :
  • Goal Completion : Inspired to perform well by the completion of tasks
  • Preferred Financial : Inspired to perform well by monetary reimbursement
  • Education Required :
  • High School or better.
  • Preferred Associates or better.
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    Insurance Representative • Pearl, MS, US