Insurance Patient Account Representative

The Bryn Mawr Medical Specialists Association Business Office is looking to add two full-time Insurance Representatives to their team. As an Insurance Representative, your sole focus and responsibility will be your assigned physician(s) insurance A / R. This function will include, but not be limited to, timely follow up on claims rejected or denied by our clearinghouse and / or the patient's insurance carrier, completion of investigations and appeals according to the prescribed policies of the carrier, communication of corrections required by internal clinical and non-clinical departments including charge entry and registration staff and assisting patients in understanding their insurance related balances.

Functions / Responsibilities :

• Examination and timely follow up on unpaid claims
• Completions of investigations and / or appeals of rejected or denied claims
• Communication with department staff members regarding required items for claims corrections
• Identification of claims requiring managerial review and assistance
• Assisting patients in the understanding of insurance denials and / or their assigned cost sharing as needed
• Facilitate the identification or rejection and denial trends
• Make corrections to claims information including but not limited to CPT codes, DX codes, referrals, and authorizations as directed by the departments
• Completion of additional duties as assigned by management

Qualifications :

High school diploma of GED required

Previous insurance A / R experience preferred

Ability to understand an insurance Explanation of Benefits including denial reason codes and the appropriate responses to those codes

General knowledge of ICD-10 and CPT codes

Customer Service

Ability to communicate clearly and concisely

Knowledge of insurances, coverage guidelines, and payment policie

Self-starter with the ability to work independently in the furtherance of the goals of the team

Experience with patient accounting and EMR software

Intergy experience preferred

Job Type : Full-time

Benefits :

401(k)

Dental insurance

Disability insurance

Health insurance

Paid time off

Vision insurance

Ability to Relocate :

Bryn Mawr, PA : Relocate before starting work (Required)

Work Location : In person