Insurance Follow-Up Representative
Southeast Orthopedic Specialists, Jacksonville, Florida, United States, 32290
Overview
NON-CLINICAL | BUSINESS OFFICE | FULL-TIME | JACKSONVILLE, FL | BENEFITS PACKAGE
Established in 2001, Southeast Orthopedic Specialists is a regional leader in musculoskeletal medicine. We are dedicated to growing with our patients and making industry-leading five-star orthopedic care accessible to as many people as possible.
Position Insurance Follow-Up Representative (Non-Clinical, Business Office, Full-Time) in Jacksonville, FL with benefits package.
Responsibilities
Review insurance denials to determine and take the next appropriate action steps to receive payment from the payor.
Appeal claims that have been denied for reasons such as no authorization, medical necessity, etc.
Verify receipt of claims with insurance plans to ensure timeliness of reimbursement.
Assume full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.
Communicate with payors through phone calls, emails, and payor portals.
Process and take action on any written correspondence from insurance payors.
Identify and trend reasons for claim denials.
Resolve claim discrepancies reported by patients and other clinical departments.
Qualifications
Must have a minimum of two years of medical claims processing experience.
Must be able to read and understand the Explanation of Benefits and denial reasons.
Advanced computer knowledge, including Windows-based programs such as Word and Excel.
Experience working with Blue Cross/Blue Shield, Commercial insurance companies, and Workman\'s Compensation carriers.
Benefits At Southeast Orthopedic Specialists, we are dedicated to taking care of you so you can take care of business. Our benefits package includes:
Competitive Health & Supplemental Benefits
Monthly stipend to use toward ancillary benefits
HSA with qualifying HDHP plans with company match
401k plan
Employee Assistance Program available 24/7
Employee Appreciation Days/Events
Paid Holidays & Paid Time Off
And more
Questions Questions? Contact HR@SE-ORTHO.COM
Qualifications & Equal Opportunity Equal Opportunity Employer: This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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Established in 2001, Southeast Orthopedic Specialists is a regional leader in musculoskeletal medicine. We are dedicated to growing with our patients and making industry-leading five-star orthopedic care accessible to as many people as possible.
Position Insurance Follow-Up Representative (Non-Clinical, Business Office, Full-Time) in Jacksonville, FL with benefits package.
Responsibilities
Review insurance denials to determine and take the next appropriate action steps to receive payment from the payor.
Appeal claims that have been denied for reasons such as no authorization, medical necessity, etc.
Verify receipt of claims with insurance plans to ensure timeliness of reimbursement.
Assume full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.
Communicate with payors through phone calls, emails, and payor portals.
Process and take action on any written correspondence from insurance payors.
Identify and trend reasons for claim denials.
Resolve claim discrepancies reported by patients and other clinical departments.
Qualifications
Must have a minimum of two years of medical claims processing experience.
Must be able to read and understand the Explanation of Benefits and denial reasons.
Advanced computer knowledge, including Windows-based programs such as Word and Excel.
Experience working with Blue Cross/Blue Shield, Commercial insurance companies, and Workman\'s Compensation carriers.
Benefits At Southeast Orthopedic Specialists, we are dedicated to taking care of you so you can take care of business. Our benefits package includes:
Competitive Health & Supplemental Benefits
Monthly stipend to use toward ancillary benefits
HSA with qualifying HDHP plans with company match
401k plan
Employee Assistance Program available 24/7
Employee Appreciation Days/Events
Paid Holidays & Paid Time Off
And more
Questions Questions? Contact HR@SE-ORTHO.COM
Qualifications & Equal Opportunity Equal Opportunity Employer: This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr