INSURANCE REPRESENTATIVE
Mississippi Sports Medicine & Orthopaedic Center, Jackson, MS, United States
Insurance Representative
The Insurance Representation role plays an integral part in the success of our large, multi-physician Orthopaedic and Sports Medicine practice, as well as our Ambulatory Surgical Center. This position may be responsible for and assigned to a variety of insurance- and revenue-related functional areas, depending on the needs of the organization and the individual's experience. The ideal candidate is a self-starter who demonstrates a strong sense of ownership and urgency regarding assigned responsibilities. This individual must be a team player with an energetic, positive attitude and a commitment to accuracy, efficiency, and collaboration. A complete list of essential functions is outlined below. Characteristics of Work This position requires strong industry knowledge of insurance processes, revenue cycle management, and best practices. The individual in this role must demonstrate initiative, accountability, and attention to detail. Collaboration with management and team members to identify and resolve issues at their source is an essential component of this position. Experience / Educational Requirements High School Diploma or equivalent required Minimum of 2 years of healthcare physician revenue cycle experience related to the duties described Orthopaedic billing experience strongly preferred Ambulatory Surgery Center billing experience strongly preferred Experience with ModMed and/or HST EMR systems strongly desired Essential Functions Demonstrate an understanding of revenue cyclerelated code sets, including CPT, HCPCS, and CARC/RARC Understand managed care and governmental insurance rates and requirements related to fees and prior authorizations Maintain appropriate levels of accuracy and daily productivity Respond to patient and insurance company inquiries in a professional and courteous manner Verify insurance benefits and ensure accurate data entry Perform timely follow-up on insurance claims, including rejections and denials, to secure prompt payment Obtain and enter referrals and pre-certifications for planned services and visits Work independently while maintaining focus and efficiency Identify trends or issues impacting timely claim resolution and proactively bring them to management's attention 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 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.
The Insurance Representation role plays an integral part in the success of our large, multi-physician Orthopaedic and Sports Medicine practice, as well as our Ambulatory Surgical Center. This position may be responsible for and assigned to a variety of insurance- and revenue-related functional areas, depending on the needs of the organization and the individual's experience. The ideal candidate is a self-starter who demonstrates a strong sense of ownership and urgency regarding assigned responsibilities. This individual must be a team player with an energetic, positive attitude and a commitment to accuracy, efficiency, and collaboration. A complete list of essential functions is outlined below. Characteristics of Work This position requires strong industry knowledge of insurance processes, revenue cycle management, and best practices. The individual in this role must demonstrate initiative, accountability, and attention to detail. Collaboration with management and team members to identify and resolve issues at their source is an essential component of this position. Experience / Educational Requirements High School Diploma or equivalent required Minimum of 2 years of healthcare physician revenue cycle experience related to the duties described Orthopaedic billing experience strongly preferred Ambulatory Surgery Center billing experience strongly preferred Experience with ModMed and/or HST EMR systems strongly desired Essential Functions Demonstrate an understanding of revenue cyclerelated code sets, including CPT, HCPCS, and CARC/RARC Understand managed care and governmental insurance rates and requirements related to fees and prior authorizations Maintain appropriate levels of accuracy and daily productivity Respond to patient and insurance company inquiries in a professional and courteous manner Verify insurance benefits and ensure accurate data entry Perform timely follow-up on insurance claims, including rejections and denials, to secure prompt payment Obtain and enter referrals and pre-certifications for planned services and visits Work independently while maintaining focus and efficiency Identify trends or issues impacting timely claim resolution and proactively bring them to management's attention 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 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.