Insurance Follow Resume Samples

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Guide the recruiter to the conclusion that you are the best candidate for the insurance follow job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

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CH
C Herzog
Cooper
Herzog
4796 Damien Drive
Boston
MA
+1 (555) 146 8616
4796 Damien Drive
Boston
MA
Phone
p +1 (555) 146 8616
Experience Experience
Chicago, IL
Insurance Follow
Chicago, IL
Kris-Ullrich
Chicago, IL
Insurance Follow
  • Provide feedback to management concerning possible problems or areas of improvement
  • Perform other duties as assigned by management
  • Make recommendations to implement improved processes
  • Performs follow up on all outstanding accounts assigned in accordance with established standards and procedures
  • Distribution of daily workload to subordinates
  • Understand why a procedure/process is in place so you can be in a position to identify possible opportunities for improvement
  • Perform timely follow up on all of assigned claims
Detroit, MI
Hospital Insurance Follow
Detroit, MI
Herzog, Pacocha and Blanda
Detroit, MI
Hospital Insurance Follow
  • Work in an independent and self-motivated manner to maximize daily efficiency
  • Participate in the monthly, quarterly and annual performance evaluation process with their Supervisor
  • Assists in maintaining harmony between the client staff and project team members
  • Identify issues or trending and provide suggestions for resolution
  • Effectively plans daily workload for maximum impact
  • Communicate issues to management, including payer, system or escalated account issues
  • Participate and attend meetings, training seminars and in-services to develop job knowledge
present
Chicago, IL
Insurance Follow Up Manager
Chicago, IL
Roob Inc
present
Chicago, IL
Insurance Follow Up Manager
present
  • Analyzes related AR activity and develops or refines internal processes to consistently reach and maintain established AR goals. Evaluates and reports on the effectiveness of existing processes and all recommended/implemented improvements
  • Monitors claim payment/denial trends and identifies potential problems through established insurance follow-up activities. Works with health plan provider representatives and other MPAS departments to resolve issues
  • Develops plan of action and implements process refinements to address and manage health plan problems and/or changes. Communicates these to staff, Patient Accounts management and client stakeholders
  • Monitors insurance follow-up activities from initial health plan denial through claim resolution. Puts audit measures in place to ensure compliance with departmental standards for all related activities
  • Responsible for setting goals and the development of staff. Works with unit supervisors on development of team leads and patient account representatives. Works with staff to meet goals and provides feedback
  • Monitors education for all newly hired patient account representatives to ensure all Patient Accounts policies and procedures are understood and consistently applied
  • Proactively reviews established processes to ensure maximum collection opportunities. Develops, initiates and reports process improvements. Develops tools to monitor improvement results and measure performance
Education Education
Bachelor’s Degree in Business Administration
Bachelor’s Degree in Business Administration
Chapman University
Bachelor’s Degree in Business Administration
Skills Skills
  • Intermediate knowledge of insurance collections and insurance terminology
  • Working knowledge of industry-specific forms, coding, and reimbursement methodologies
  • Intermediate knowledge of CPT and ICD-9 codes
  • Intermediate knowledge of UB-04 and Explanation of Benefits (EOB) interpretation
  • Writes concise and grammatically correct memos, letters, reports and instructions which clearly state the intended message in a manner that is easy for others to understand
  • Good written and verbal communication skills
  • Maintains professional and ethical relationships with clients and staff
  • Motivated to achieve individual and team goals
  • Receptive to differing views and ideas
  • Verbally transmits ideas, instructions and information so they are clearly understood by others
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7 Insurance Follow resume templates

1

Insurance Follow Resume Examples & Samples

  • Accurately update patient demographics, account messages, insurance payment adjustments, edits and charge
  • Prepare recommendations concerning accounts to be written off based on knowledge of contractual obligations
  • Keep daily log of number of electronic claim rejections
  • Identify denial trends and report issues to Account Manager for escalation with payer liaisons
  • Prepare denial/adjustment reports weekly and communicate with the Practice Managers and/or Directors of Operations
  • Participate in professional development activities to keep current with trends and future guidelines in health care
  • Basic knowledge of third party billing rules and regulations including appeals
  • Ability to consistently meet production and quality goals under time constraints
  • Strong problem-solving skills and ability to adapt to changes
2

Hospital Insurance Follow Resume Examples & Samples

  • May supervise others on the project sites
  • Effectively plans daily workload for maximum impact
  • Ability to travel with reliable transportation and automobile insurance coverage for self
  • Daily navigation of multiple software applications
  • Work in an independent and self-motivated manner to maximize daily efficiency
  • Completes timely billing and follow-up on assigned accounts, in a compliant manner
  • Identifies trends and their root causes within assigned inventory
  • May assist with administrative duties fundamental to successful project operations
  • Maintains an appropriate level of productivity, as defined by project guidelines
  • Available to reliably train new associates in proper execution of job duties, in accordance with company expectations
  • Keeps Project Director informed of any problems or issues
  • Completes work accurately and timely with appropriate documentation
  • Assists in maintaining harmony between the client staff and project team members
  • Serves as a role model to the overall company image
  • Uses Excel as a standard method for internal and external reporting
  • Familiarity with medical terminology
  • Working knowledge of industry-specific forms, coding, and reimbursement methodologies
  • Stays informed of guidelines and regulations governing billing and collections practices
  • Computer literacy, including Microsoft Office Suite applications and acquaintance with widely-used patient accounting/billing systems
  • Writes concise and grammatically correct memos, letters, reports and instructions which clearly state the intended message in a manner that is easy for others to understand
  • Verbally transmits ideas, instructions and information so they are clearly understood by others
  • Motivated to achieve individual and team goals
  • Maintains professional and ethical relationships with clients and staff
  • Demonstrates flexibility when change is required
  • Receptive to differing views and ideas
  • College education or equivalent work experience desirable
  • Previous experience in acute healthcare receivables
3

Collection Spec SLC Sp-insurance Follow Resume Examples & Samples

  • Perform collections activity based on collection queue/production goals
  • Follow all required FDCPA regulations and system procedures
  • Maintain a working knowledge of client policies and procedures
  • Maintain acceptable call quality as determined by the Management staff
  • Close out an appropriate number of accounts each month as determined by Management
  • Work with insurance companies and completing any necessary correspondence to facilitate account resolution
4

Insurance Follow Resume Examples & Samples

  • Gather documentation to assist in audit requests and claim corrections
  • Back up for the daily 72-hour Medicare hold report
  • Meet MGMA productivity guidelines for insurance follow up
  • Maintain patient and employee privacy and confidentiality according to HIPAA guidelines
5

Hospital Insurance Follow Up Representative Resume Examples & Samples

  • Accurately and thoroughly documents the pertinent collection activity performed
  • Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers
  • Edit claims to meet and satisfy billing compliance guidelines for electronic submission
  • Participate and attend meetings, training seminars and in-services to develop job knowledge. Participate in the monthly, quarterly and annual performance evaluation process with their Supervisor
  • Respond timely to emails and telephone messages as appropriate
  • Intermediate knowledge of CPT and ICD-9 codes
6

Insurance Follow Resume Examples & Samples

  • Two or more years in health insurance processing; medical office preferred
  • Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
  • Adheres to and exhibits our core values
7

Insurance Follow Up Rep-day Resume Examples & Samples

  • Reviews and researches claims for denials reason. Prepares and files appeals timely. Completes Request for Reconsideration forms following payor requirements and submits within timely filing periods. Includes all applicable clinical documentation in accordance with HIPAA Privacy Standards and to ensure maximum reimbursement. Follows established Patient Accounts appeal guidelines. Processes insurance/patient correspondence, VOC, and ticklers follow-up based on established Midwest Physician Administrative Services Insurance Follow Up unit policies and procedures. Researches delinquent claims to identify payer and/or claim office trends, applies approved payer rule adjustments, resubmits missing claims, and reports findings to supervisor. Identifies coding errors and prepares clinical coding reviews. Maintains confidentiality of all information as stipulated in the HIPAA Privacy Rules and MPAS Confidentiality Policy. Identifies coding errors and facilitates clinical coding review
  • Review Department and clinical department coding coordinators on retro authorization requests and appeals. Involves Team Lead on complex issues or unanswered requests. Participates in the rotation of unit responsibilities. Attends available classes pertaining to position. Responsible for maintaining accurate and current resource material. Utilizes material appropriately when making determinations for claim appeals. Maintains department's policies and procedure timeliness and accuracy standards. Performs other projects and duties as related to organization's objectives
  • Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks. Researches overpayments, identifies root causes or trends, processes refunds, takes corrective action, and reports findings to supervisor. Responsible for working on credit work queues and processing refunds for any transaction, unmatched in Epic, that results in the amount remaining undistributed
  • Typing, computer knowledge, proficiency in excel and word. Insurance knowledge and background of CPT and ICD codes helpful. Familiarity with 5010, claims payments and customer service background helpful
8

Per Diem-insurance Follow up Representative Resume Examples & Samples

  • Responsible for all aspects of follow up and collections, including making telephone calls, accessing payer websites
  • Identify issues or trending and provide suggestions for resolution
  • Intermediate technical skills including PC and MS Outlook
9

Insurance Follow Resume Examples & Samples

  • At least one year of collections in hospital or medical setting experience required
  • Basic Knowledge of UB, EOB, and remit advise
  • Good phone skills (clear Voice)
  • Multi task skills
  • Experience working in a production environment (fast paced)
  • Working knowledge Windows based software(Excel, PPT, outlook, word)
  • ONLY CANDIDATES WITH SALARY REQUIREMENTS LISTED WILL BE CONSIDERED***
10

Insurance Follow Up Manager Resume Examples & Samples

  • Manages the Patient Accounts insurance follow up unit, ensuring compliance with federal, state, and health plan standards and/or regulations. Adheres to contractual requirements
  • Analyzes related AR activity and develops or refines internal processes to consistently reach and maintain established AR goals. Evaluates and reports on the effectiveness of existing processes and all recommended/implemented improvements
  • Monitors claim payment/denial trends and identifies potential problems through established insurance follow-up activities. Works with health plan provider representatives and other MPAS departments to resolve issues
  • Develops plan of action and implements process refinements to address and manage health plan problems and/or changes. Communicates these to staff, Patient Accounts management and client stakeholders
  • Monitors insurance follow-up activities from initial health plan denial through claim resolution. Puts audit measures in place to ensure compliance with departmental standards for all related activities
  • Responsible for setting goals and the development of staff. Works with unit supervisors on development of team leads and patient account representatives. Works with staff to meet goals and provides feedback
  • Monitors education for all newly hired patient account representatives to ensure all Patient Accounts policies and procedures are understood and consistently applied
  • Monitors staff production and audits accounts to ensure compliance and consistency. Provides analysis where appropriate. Provides regular feedback to staff concerning their audit results. Reports audit results to manager
  • Proactively reviews established processes to ensure maximum collection opportunities. Develops, initiates and reports process improvements. Develops tools to monitor improvement results and measure performance
  • Identifies root causes for identified problems and makes necessary changes to improve outcomes. Applies same strategy when proactively identifying potential problems, focusing on both the internal and global impact of the issues
  • Takes an active role in developing supporting software and processes. Participates in the development of the Epic Resolute module through upgrade/enhancement design, testing and implementation. Acquires expert knowledge of Follow-Up Workqueues and maintains certification requirements
  • Submits personal performance goals to manager on a yearly basis. Evaluates progress toward meeting personal goals quarterly. Initiates quarterly meeting with manager to discuss personal goal status
  • Develops staffing projections based on documented work volume benchmark. Monitors for appropriate staffing levels. Notifies manager of staff shortage or overstaffed situations
  • Assess staff workload and guides staff in setting priorities. Deploys staff effectively to meet daily production needs and overall AR goals
  • Develops and documents procedures based on Patient Accounts policy. Provides staff with training and reference material related to procedures. Modifies procedures as appropriate
  • Reviews and is knowledgeable about all Patient Accounts procedures. Reviews own area processes for links to and smooth hand-offs to other areas
  • Develops and maintains good relations with staff, clients, payer and vendor representatives
  • Maintains confidentiality of all information as stipulated in the HIPPA Privacy Rules and MPAS confidentiality policy
  • Performs other projects and duties as related to department objectives. Participates in other committees as assigned
  • Displays awareness of needs of other areas. Collaborates with other supervisors to provide staff assistance or support in the case of backlogs or unusual workload situations
  • Schedules and prioritizes for self and others; established strategies to accomplish specific results, produces desired results
  • Effective in identifying, analyzing and solving problems; able to anticipate the impact of a problem and/or solution on other areas and operating processes; identifies alternatives and determines appropriate solutions; takes information and reaches a meaningful conclusion
  • Analyzes information, generates new ideas and opportunities. Thinks beyond the boundaries of past practices and usual routines
  • Demonstrates the ability to guide and develop staff through positive reinforcement
  • Motivates and challenges others to achieve organizational and career goals; communicates performance standards and expectations; give consistent, open and honest feedback including both positive and constructive feedback; and provides active support for the development efforts of others
  • Demonstrates the skills necessary for effective delegation and empowerment; recognizes level of skills in others, gives appropriate authority and support, minimizes obstacles and provides clear guidelines
  • Fosters teamwork and positive rapport within all departments and follows through on team commitments to other departments
  • Effectively articulates message and conveys ideas through speech and writing in a clear and organized manner; is sensitive towards others, accepts personal differences and deals effectively with others, regardless of status
  • Two to four years of related experience
11

Insurance Follow Resume Examples & Samples

  • Review and analyze the history of the assigned accounts (and associated accounts) to determine current status and to assist in determination of next steps
  • Escalate problem account to lead, when appropriate, to obtain additional guidance toward resolution of account
  • Perform timely follow up on all of assigned claims
  • Understand why a procedure/process is in place so you can be in a position to identify possible opportunities for improvement
  • Document all information gathered and action taken
  • High School Graduate or equivalent, required
  • 2 years post high school education or degree preferred
  • 1 year of general office experience, required
  • 1 year of experience in a healthcare financial setting, required
12

Hospital Insurance Follow Resume Examples & Samples

  • Participate in the monthly, quarterly and annual performance evaluation process with their Supervisor
  • Respond timely to emails and telephone messages as appropriate. Communicate issues to management, including payer, system or escalated account issues
  • Intermediate knowledge of insurance collections and insurance terminology
13

Insurance Follow Resume Examples & Samples

  • Must be detailed oriented and able to multitask
  • Computer skills necessary
  • Experience with medical billing software preferred
14

Business Office Insurance Follow Resume Examples & Samples

  • Medical terminology and medical coding training
  • Experience in hospital insurance billing
  • Knowledge and understanding of coding classification systems
  • Knowledge of state and federal regulations as they pertain to billing processes and procedures
  • Bachelor degree in Finance, Business Management or health care administration
  • Experience with Automated Systems; Epic
  • 2+yrs prior experience with Insurance Follow- up
  • Experience and knowledge of government and commercial Insurances
15

Insurance Follow Up Customer Service Representative Resume Examples & Samples

  • Reviews and edits any rejections stemming from electronic billing submissions and corrects and resubmits claims
  • Investigates over-payments and takes appropriate action to resolve. Initiates refund requests in accordance with departmental procedures
  • Follows up on payer payment variances. Reports trends of payer behavior
  • Send secondary claims to appropriate payors
  • Establishes and demonstrates competency in accounts receivable systems and associated applications
  • Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm
  • One year of Physician Billing experience, including insurance carrier follow up and customer service, required
  • Required to sit for long periods of time interspersed with standing, walking and bending
16

Insurance Follow Up Specialist Resume Examples & Samples

  • Ensures efficient processing of denials and appeals. Meets cash collection goals by reviewing, analyzing, completing, and submitting appropriate documentation based on payer requirements. Conducts research and provides updates and current status of collection efforts using the appropriate data management system (EPIC). Performs extensive follow-up to third parties, resolving issues that are adversely impacting claims payment. Communicates information and ideas to make system-wide process improvements. Updates data regarding changes and modifications in plan benefits and other contract information relevant to the claims follow up and collection process. (20%)
  • Serves as a communication link to various departments and external payers by developing positive relationships with managed care organizations and outside agencies, and clinical areas within the organization. Performs liaison services to both internal and external customers providing assistance in claims resolution. Reviews and responds to correspondence and inquiries generated by third party payers. Provides medical record copies and other pertinent information to the appropriate sources throughout the collection process. Assists with education of internal staff and external customers to bring about the timely, accurate, and cost effective adjudication of all claims. Works collaboratively with other departments to facilitate the insurance collections process and to improve overall cash collection. (15%)
  • Communicates team barriers, process flow or productivity issues to the supervisor. Assists team members in operational support and training. Assists in resolving claim issues requiring additional oversight by tracking and trending information and conducting root cause analysis. (15%)
  • Monitors the status of denials, appeals, and claim errors by using work queues and conducting routine, periodic follow up on previously researched claims items. Monitors, reviews, and suggests revisions or updates to existing forms, documents, and processes required to secure timely payment. (15%)
  • Ensures completeness of claims by following national, local, and internal billing requirements promoting prompt and accurate submission and payment. Maintains awareness of current regulations. Initiates practices that support current regulations. Shares knowledge of current regulations with staff. Analyzes current practices and makes recommendations for process improvements. (15%)
  • Assists other departments/functional areas as needed with billing, claims, or claims follow up related tasks. (10%)
  • Participates in committees as a representative for the department's interests, objectives, and/or goals. (5%)
  • Performs other duties as assigned or required. (5%)
  • Five years of previous medical billing and collections experience
  • Must be familiar with a personal computer and general office software packages
  • Excellent interpersonal, written, and oral communications skills
  • Education: Associate's Degree/Completion of college level coursework preferred
  • Previous experience working with third party payers preferred
17

Insurance Follow Up Specialist Resume Examples & Samples

  • Ensures efficient processing of denials and appeals. Meets cash collection goals by reviewing, analyzing, completing, and submitting appropriate documentation based on payer requirements. Conducts research and provides updates and current status of collection efforts using the appropriate data management system (EPIC PB). Performs extensive follow-up to third parties, resolving issues that are adversely impacting claims payment. Communicates information and ideas to make system-wide process improvements. Updates data regarding changes and modifications in plan benefits and other contract information relevant to the claims follow up and collection process. (25%)
  • Serves as a communication link to various departments and external payers by developing positive relationships with managed care organizations and outside agencies, and clinical areas within the organization. Performs liaison services to both internal and external customers providing assistance in claims resolution. Reviews and responds to correspondence and inquiries generated by third party payers. Provides medical record copies and other pertinent information to the appropriate sources throughout the collection process. Assists with education of internal staff and external customers to bring about the timely, accurate, and cost effective adjudication of all claims. Works collaboratively with other departments to facilitate the insurance collections process and to improve overall cash collection. (20%)
  • Monitors the status of denials, appeals, and claim errors by using work queues and conducting routine, periodic follow up on previously researched claims items. Monitors, reviews, and suggests revisions or updates to existing forms, documents, and processes required to secure timely payment. (20%)
18

Manager of Insurance Follow Resume Examples & Samples

  • Manages the daily operations of the Insurance Follow Up Department
  • Ensures timely and accurate adjudication of insurance claims
  • Manages the resolution of all denied claims and works collaboratively with patients and payers to ensure resolution
  • Assists in the process of estimating personnel requirements and associated costs as the unit expands
  • Oversees the distribution and resolution of all unpaid claims related work queues
  • Works directly with clearinghouse vendor or payer to ensure reasons for delayed or denied claims are addressed in a comprehensive manner
  • Keeps leadership of the Central Billing Office apprised of activity through formal status reporting
  • Manages productivity and quality of work of the follow-up staff
  • Reports denial trends and conducts root cause analysis to prevent future denials from occurring
  • Reviews and approves adjustments in accordance with department policy
  • Communicates regularly with insurance companies to reduce outstanding claims and resolve payer issues
  • Collaborates and communicates with functional areas to reduce rejections
  • Makes or approves recommendations regarding personnel employment, performance appraisals, salary changes, promotions, transfers, and terminations of staff
  • Coordinates personnel involved with the resolution of unpaid insurance claims
  • Develops work plans and schedules, including requirements, tasks, work assignments, and necessary resources
  • Provides staff with training, creative ideas, and new approaches for resolving issues, and shares departmental goals and objectives with staff on a regular basis
  • Keeps abreast of industry trends related to billing and associated technologies
  • Attends trainings, seminars, and conferences as required
  • Performs other duties as assigned or required
19

Insurance Follow Up Representative Resume Examples & Samples

  • High School diploma or equivalent, required
  • Minimum of six months experience performing customer service duties in the retail, service or medical industry, required
  • Ability to communicate effectively and diplomatically within a multi-functional team, required
  • Experience in understanding and usage of computers as well as the ability to learn applications relavant to the position, required
  • Knowledge of medical insurance billing/collections software, preferred
20

Insurance Follow Resume Examples & Samples

  • Distribution of daily workload to subordinates
  • Log and report weekly/monthly statistics
  • QC and Production
  • Calculate and prepare statistics for quarterly bonus
  • Calculation of biweekly employee time cards
  • Maintain monthly ½ day Friday schedule
  • Maintain 45 day out calendar for next step rescheduling
  • Review refund requests
  • Training of new employees
  • Perform 45, 60, 90 day and yearly employee evaluations
  • Educate team on procedural changes and updates
  • Maintain department procedural manual
  • Order and distribute team supplies
  • Counsel employees on employee issues as needed
  • Act as back-up for all departments job functions as needed
  • Set example for team in all areas that relate to job functions and Clinical Pathology Labs’ compliance policies and procedures
  • Assume supervisory responsibilities when needed due to absence of supervisor
  • Duties include but are not limited to the above mentioned responsibilities
21

Insurance Follow Resume Examples & Samples

  • Customer service duties include answering telephones politely and confidently for patients and others regarding billing inquiries and resolving billing issues when needed for coverage or backup
  • Act as a resource to CPL personnel and clients regarding insurance guidelines
  • Accurately enter information provided by various sources to correct claims in regards to CPT and ICD-9 codes and send out in a timely manner to insurance carriers
  • Ability to interpret various Explanation of Benefits
  • Audit account history showing insurance denials to resolve balances to the highest allowable for CPL and to fully utilize our patient’s benefits
  • Audit Aged Trial Balance Reports. Contact insurance carriers regarding rejections and pending claims to resolve and confirm claims have been received
  • Ability to generate demand claims for appeals to insurance carriers
  • Strong data entry skills, with the ability to meet production guidelines as set by the Accounts Receivable Director
  • Ability to stay work focused and perform job duties efficiently and accurately. Must have strong organizational skills
  • Employee must comply with Clinical Pathology Labs’ compliance policies and procedures
22

Insurance Follow Resume Examples & Samples

  • Perform data analytics, tracks and trends AR to identify and resolve potential issues
  • Extraction of Month end data from Physician Billing Systems in order to support Report Cards/Scorecards along with CHSLI finance transaction schedules
  • Follows up and Reports Trends on payer payment variances. Initiates refund requests and/or carrier projects in accordance with departmental procedures
  • Responds to requests for information and telephone inquiries from patients, insurance carriers, and outside agencies in a courteous manner
  • Performs other related departmental duties as requested
  • Proficient at advanced Excel and Access
  • Data analytics
  • Strong knowledge of medical insurance and healthcare billing
  • Two years' experience in Physician Revenue Cycle duties and/or two years Reporting/Analytics
23

Insurance Follow Resume Examples & Samples

  • Follow-up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner
  • Thoroughly review all notes in patient accounts for potential insurance benefit eligibility
  • Access client systems to determine insurance eligibility and filing status in order to prepare claims for billing
  • Request necessary documents from client to perform insurance billing
  • Responsible for accurately tracking payments and payment verifications
  • Contact patients when additional information is required to complete billing
  • Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event
  • Dependent upon position, identify root cause of issues and concerns, determine resolution, and refer to Management
  • Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations relating to job duties
  • Knowledge, understanding, and compliance with company policies and procedures
  • Provide feedback to management concerning possible problems or areas of improvement
  • Make recommendations to implement improved processes
  • High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired
  • Previous insurance/medical billing/customer service experience preferred
  • Proficient personal computer skills, including Microsoft Office
  • Excellent interpersonal, written, and oral communication skills
  • Ability to work in a team fostered environment
  • Ability to prioritize and organize work in a multitasked environment
  • Ability to adapt to a flexible schedule
  • Ability to maintain the highest level of confidentiality
24

Insurance Follow Up-collections Specialist Resume Examples & Samples

  • Assist the Unit Manager or Team Lead in working priority reports promptly, effectively, and efficiently
  • Process payment information via the telephone
  • Resolve disputes
  • Maintain accurate records within a collections database
  • Be a mentor to new employees and assist in their training and development
  • Knowledge: Medical and insurance terminology such as CPT, ICD-9, HCPCS, co-pay, deductible or co-insurance, and full understanding of hospital/physician billing. High school diploma or equivalent
  • Experience: Minimum 1-2 years experience in Medical Billing/Coding and experience with standard office software products a must
  • Skills/Aptitudes: Demonstrated communication and problem solving skills and the ability to act/decide accordingly. Ability to collect, create and research complex or diverse information. Exceptional customer service and the ability to plan organize and exercise sound judgment
25

Insurance Follow Up Representative Resume Examples & Samples

  • Performs follow up on all outstanding accounts assigned in accordance with established standards and procedures
  • Determines reason for denial and appeals accounts as necessary
  • Verifies accuracy of patient insurance and demographic information
  • Generates bills to patients for services not covered by insurance
  • Performs other related duties as requested
  • Strongknowledge of medical insurance and healthcare billing
  • Ability to communicate effectively with insurance carriers, patients, and co-workers
  • Excellent verbal and auditory skills are required for communicating with internal staff, customers and representatives from external departments and agencies
  • Near vision acuity is required for maintaining patient accounts and computer work