Healthcare Outcomes Performance Co. (HOPCo) logo
Healthcare Outcomes Performance Co. (HOPCo)

HOPCo is the leading provider of musculoskeletal value-based health outcomes, service line and practice management.

Insurance Follow-Up Representative

InsuranceInsuranceFull TimeRemoteMid LevelTeam 1,001-5,000Company SiteLinkedIn

Location

Florida

Posted

69 days ago

Salary

Not specified

Seniority

Mid Level

2 yrs expEnglish

Job Description

• Following patient accounts through the insurance payors to ensure proper reimbursement • Review insurance denials to take appropriate action for payment • Appeal claims that have been denied for no auth, medical necessity, etc. • Verify receipt of claims with insurance to ensure timeliness of reimbursement • Reduce accounts receivable of insurance balances • Communicate with payors through phone calls, emails, and portals • Process written correspondence from insurance payors • Identify and trend reasons for claim denials • Resolve discrepancies reported by patients and other departments

Job Requirements

  • Minimum of two years of medical claims processing experience
  • Ability to read and understand the Explanation of Benefits and denial reasons
  • Advanced computer knowledge, including Windows-based programs such as Word and Excel
  • Experience working with Blue Cross/Blue Shield, Commercial insurance companies, and Workman's Compensation carriers

Benefits

  • Competitive Health & Supplemental Benefits
  • Monthly stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan
  • Employee Assistance Program available 24/7
  • Employee Appreciation Days/Events
  • Paid Holidays & Paid Time Off
  • AND MORE!

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