Insurance Follow-up Representative
Full Time
Allentown, PA 18103
Posted
Job description
Job Summary:
Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow-up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider representative for contracting action. Identifies denial and underpayment trends that require computer system modifications and recommends necessary to implement corrective action. Prepares reports for meetings with provider representative and senior leadership, as required.
Education - Required:
Education - Preferred:
Experience - Required:
Experience - Preferred:
Knowledge, Skills, and Abilities - Required:
Licensure - Preferred:
Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow-up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider representative for contracting action. Identifies denial and underpayment trends that require computer system modifications and recommends necessary to implement corrective action. Prepares reports for meetings with provider representative and senior leadership, as required.
Education - Required:
- High School Diploma/GED
Education - Preferred:
- Associate's Degree in Health Care Science, Business or related field.
Experience - Required:
- 2 years of professional or facility billing and/or collections for all major third party payers or work experience in healthcare related field.
Experience - Preferred:
- 1 year Medical Coding Experience.
Knowledge, Skills, and Abilities - Required:
- Excellent follow-up and verification skills.
- Excellent verbal and written communication skills.
- Knowledge of insurance contracts, and regulations.
- Proficient with Microsoft Excel, Word, and PowerPoint applications.
- Strong analytical, mathematical and organizational skills.
- Successful Completion of DOE and Revenue Cycle Education Training within 3 months of hire.
Licensure - Preferred:
- CPAT - Certified Patient Accounting Technician or equivalent
Location: Lehigh Valley Health Network · Patient Accounting
Schedule: Full Time 40 hours, Day Shift, M-F; 8:00a-4:30p
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