Insurance Follow-Up Clerk Job at White River Health
Job Summary:
Responsible for contacting insurance companies for claim processing status. Provides requested information to the insurance companies to process claims timely and effectively. Works closely with biller on claims that need reprocessing the employee shall add support to contribute to departmental objectives by assisting his/her supervisor and by giving instruction and guidance to his/her fellow employee. The employee shall adhere to the established policies and procedures of the hospital and departments.
Job Duties:
- Contact insurance companies for claim status on accounts.
- Provide requested information to insurance companies to process claims.
- Works to correct back-end denial rejections and determine cause.
- Works with biller to file corrected claims.
- Performs other duties as assigned by supervision.
Qualifications:
- Education: high school diploma or equivalent required, two- or four-year degree preferred.
- Training and Experience: Experience with automated billing systems in a hospital setting and thorough knowledge of claims submission process for all major carriers and intermediaries including but not limited to Medicare, Medicaid, BCBS and United Healthcare plans.
- Job Knowledge:
- Must meet and manage deadlines.
- Function as part of a billing team and exhibit orientation to the larger objectives and goals of the organization.
- Knowledgeable on insurance and reimbursement process.
- Document accounts in detail.
- Ability to maintain confidentiality.
- Ability to maintain accuracy.
- Excellent verbal, written and interpersonal communication skills.
- Proficient with Windows, MS Office, Excel Outlook, and Internet Explorer.
- Must be able to report to work fit for duty and free of any adverse effects of illegal drugs, medical marijuana, prescription medication, and/or alcohol.
- Demonstrate an independent work initiative, sound judgment and strong work ethic.
- Ability to handle multiple tasks simultaneously.
- Must be able to communicate clearly with patients, staff, and managers both verbally and in writing.
- Shows objectivity and openness to other’s views; gives and welcomes feedback.
- Employee must demonstrate basic computer skills.
Location: White River Health · *WRMC-Patient Accounts
Schedule: Full-time, Days, Mon - Fri 8:00- 4:30
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