The Insurance Follow Up Rep is responsible for various tasks in the accounts receivables reconciliation process.
Responsible for the accounts receivables reconciliation process for patient accounts including but not limited to: examining, correcting and consistently updating patient health information to ensure accurate insurance payment/follow-up and applying appropriate contractual allowances.
Resolves patient and insurance carrier inquiries in a timely manner to avoid increasing A/R days.
Uses on-line systems provided by multiple payers to verify eligibility and benefits as well as checking claim status appropriately.
Makes telephone calls to the payer to ensure receipt of claims filing and payment on submitted claims.
Maintains appropriate/consistent documentation on accounts worked utilizing the accounts receivables work listing or patient accounting system.
Identifies non-payment trends by payer and notify management and comes to the table with potential solutions to these non-payment trends.
Applies proper account management principles to accounts to ensure accurate follow up.