Medical Insurance Accounts Receivable Rep at University Physicians' Association

Knoxville, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Jun, 26

Salary

0.0

Posted On

06 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Denial Resolution, Insurance Guidelines Knowledge, Verbal Communication, Non-verbal Communication, Payer Trend Identification, Team Player, Accurate Documentation, Correspondence, Inquiry Resolution, Medical Terminology Familiarity, Organization, Detail Oriented

Industry

Hospitals and Health Care

Description

Description High Risk Obstetrical Consultants in Knoxville is looking to add a full-time, dedicated Medical Insurance Accounts Receivable Rep. to our team. This description is a general statement of required major duties and responsibilities performed on a regular and continuous basis. It does not exclude other duties as assigned. Resolve denials or partially paid claims through interaction with insurance carriers, patients, or physicians. Knowledgeable of insurance guidelines and requirements. Great verbal and non-verbal communications skills. Identify payer trends and notify management of negative trends. Ability to work as a team player Maintains accurate documentation and reports following established processes and procedures. Corresponds with patients & insurance carriers to resolve inquiries or concerns in a timely and professional manner. Contributing to the team effort by accomplishing additional responsibilities as needed. Competitive Pay in the 90th Percentile with a full-benefit package available. Physical Demands: Requires sitting for long periods of time with occasional standing, reaching, bending, stooping, kneeling, or crouching associated with normal office environment. Must be able to operate all required job related equipment to include but not limited to computer, fax, phone, and copier. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve. Requirements Requires High School education or equivalency. Experience in medical accounts receivable for various third-party insurance carriers. Working knowledge of ICD-10 and CPT codes preferred. Experience in OB/GYN field preferred. Familiar with medical terminology. Must be well organized and detail oriented. Ability to establish and maintain effective working relationships with patients, providers, team members and patients. Bilingual is Spanish is helpful but not required.

Responsibilities

The representative will resolve claim denials or partial payments by interacting with insurance carriers, patients, or physicians, while also identifying payer trends and notifying management of negative patterns. Responsibilities include corresponding with patients and carriers to resolve concerns professionally and maintaining accurate documentation according to established procedures.