The Bryn Mawr Medical Specialists Association Business Office is looking to add a full-time Insurance Representatives to their team. As an Insurance Representative your sole focus and responsibility will be your assigned physician(s) insurance A/R. This function will include but not be limited to timely follow up on claims rejected or denied by our clearinghouse and/or the patients insurance carrier completion of investigations and appeals according to the prescribed policies of the carrier communication of corrections required by internal clinical and non-clinical departments including charge entry and registration staff and assisting patients in understanding their insurance related balances.
Functions/Responsibilities:
Examination and timely follow up on unpaid claims
Completions of investigations and/or appeals of rejected or denied claims
Communication with department staff members regarding required items for claims corrections
Identification of claims requiring managerial review and assistance
Assisting patients in the understanding of insurance denials and/or their assigned cost sharing as needed
Facilitate the identification or rejection and denial trends
Make corrections to claims information including but not limited to CPT codes DX codes referrals and authorizations as directed by the departments
Completion of additional duties as assigned by management
Qualifications:
High school diploma of GED required
Previous insurance A/R experience preferred
Ability to understand an insurance Explanation of Benefits including denial reason codes and the appropriate responses to those codes
General knowledge of ICD-10 and CPT codes
Customer Service
Ability to communicate clearly and concisely
Knowledge of insurances coverage guidelines and payment policie
Self-starter with the ability to work independently in the furtherance of the goals of the team
Experience with patient accounting and EMR software
Intergy experience preferred
Job Type: Full-time
Benefits:
401(k)
Dental insurance
Disability insurance
Health insurance
Paid time off
Vision insurance
$20 per hour
The potential base pay range for this position is $20 per hour.
The pay range listed in this job posting is a good faith determination of potential base compensation that may be offered and is not a guarantee of a particular wage. Actual base pay will vary and is commensurate with the applicants knowledge experience education skills training certifications and qualifications required for the addition the listed pay range is based on factors at the time of this job posting and may be modified in the future based on market data internal equity and the budget of the department hiring for this position. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.
For questions or concerns please contact Ali Parrott at or ext. 3026.
Required Experience:
Unclear Seniority
Job DescriptionThe Bryn Mawr Medical Specialists Association Business Office is looking to add a full-time Insurance Representatives to their team. As an Insurance Representative your sole focus and responsibility will be your assigned physician(s) insurance A/R. This function will include but not b...
Job Description
The Bryn Mawr Medical Specialists Association Business Office is looking to add a full-time Insurance Representatives to their team. As an Insurance Representative your sole focus and responsibility will be your assigned physician(s) insurance A/R. This function will include but not be limited to timely follow up on claims rejected or denied by our clearinghouse and/or the patients insurance carrier completion of investigations and appeals according to the prescribed policies of the carrier communication of corrections required by internal clinical and non-clinical departments including charge entry and registration staff and assisting patients in understanding their insurance related balances.
Functions/Responsibilities:
Examination and timely follow up on unpaid claims
Completions of investigations and/or appeals of rejected or denied claims
Communication with department staff members regarding required items for claims corrections
Identification of claims requiring managerial review and assistance
Assisting patients in the understanding of insurance denials and/or their assigned cost sharing as needed
Facilitate the identification or rejection and denial trends
Make corrections to claims information including but not limited to CPT codes DX codes referrals and authorizations as directed by the departments
Completion of additional duties as assigned by management
Qualifications:
High school diploma of GED required
Previous insurance A/R experience preferred
Ability to understand an insurance Explanation of Benefits including denial reason codes and the appropriate responses to those codes
General knowledge of ICD-10 and CPT codes
Customer Service
Ability to communicate clearly and concisely
Knowledge of insurances coverage guidelines and payment policie
Self-starter with the ability to work independently in the furtherance of the goals of the team
Experience with patient accounting and EMR software
Intergy experience preferred
Job Type: Full-time
Benefits:
401(k)
Dental insurance
Disability insurance
Health insurance
Paid time off
Vision insurance
$20 per hour
The potential base pay range for this position is $20 per hour.
The pay range listed in this job posting is a good faith determination of potential base compensation that may be offered and is not a guarantee of a particular wage. Actual base pay will vary and is commensurate with the applicants knowledge experience education skills training certifications and qualifications required for the addition the listed pay range is based on factors at the time of this job posting and may be modified in the future based on market data internal equity and the budget of the department hiring for this position. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.
For questions or concerns please contact Ali Parrott at or ext. 3026.
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