Frost-Arnett Company
Experienced Insurance Follow-Up Representation
Frost-Arnett Company, Nashville, Tennessee, United States, 37247
Overview
Experienced Insurance Follow-Up Representation — Frost-Arnett Company The Insurance Billing & Follow-Up Representative ensures the efficient handling of all insurance billing, follow-up and collection activities. Communicates with insurance companies and state agencies. Completes reconciliation and billing of accounts, making independent decisions based on payer, coding and billing guidelines. The work may be long-term or short-term and depends on client needs and active projects. Knowledge of UB04 and HCFA claim forms, timely filing limits, payer portals, and general billing policies is required. Ability to work independently, meet daily productivity and quality goals, provide excellent customer service and communication skills, creativity, patience, and flexibility. Works under general supervision in a fast-paced environment. Responsibilities
Monitor, research, and resolve no response, denied, and underpaid medical claims on Medicare and Managed Medicare, Medicaid and Managed Medicaid, Government, Commercial, MVA, Workers’ Compensation, and other Third-Party Liability payers. Research claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution. Proactively follow-up on delayed payments by contacting patients and third-party payers, determine the cause of delay, and supply additional data as required. Research and resolve insurance payment recoupments and credit balances for all payer types. Collaborate with internal and client departments to verify and validate billing information and coding changes. Partner with clients and patients to obtain additional information that aids in resolving outstanding medical claims. Communicate with insurance companies to resolve denied and underpaid claims. Stay persistent in disputes with insurance companies regarding denied claims. Perform accurate follow-up activities and appeal within the appropriate time frame. Submit or re-submit claims and medical documentation; file payer reconsiderations and/or formal appeals as needed. Identify denial root causes and track denial trends by payer, location, and service billed. Document claim research, resolution activity, and next steps for each account. Work with multiple EMR and billing systems and adapt to client guidelines and payer system changes. Meet daily productivity and quality performance metrics; use department, payer, and client resources and independent research to complete tasks. Identify and escalate issues affecting accurate billing and follow-up activities. Act as a resource to peers and contribute to others’ growth in insurance follow-up skills. On a quarterly basis, exceed expectations in productivity and quality metrics; perform other duties as assigned. Qualifications
To perform this job successfully, individuals must be able to perform each essential function satisfactorily with or without reasonable accommodation. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. Education & Experience
Minimum High School diploma or equivalent required. Minimum 3-5 years of experience in denial management and insurance follow-up. Experience in medical billing, loading and verifying insurance in the correct filing order, and medical billing customer service and collections is desirable. Experience working directly with EOBs, contractual adjustments, and denial remittances is required. Working knowledge of medical and insurance terminology; knowledge of healthcare/insurance practices and processes; knowledge of federal, state, and local laws. Proven track record in billing, claim denial management, and follow-up protocols and best practices. Skills & Abilities
Strong PC, keyboard, and general computer skills; familiarity with Windows-based systems, Word, Email, and Excel preferred. Ability to compute basic math (percentages, sums, decimals) and to research documentation to resolve denials. Ability to work independently and in a team, adapt to high-volume, time-sensitive environment, and manage multiple tasks. Excellent listening, communication (verbal and written), and interpersonal skills; ability to handle confidential information. Ability to understand and reflect Frost-Arnett Mission, Vision, and Values in daily work. Language & Reasoning
Ability to communicate clearly with management, internal customers, and external parties; write business communications as needed. Reasoning: ability to define problems, collect data, establish facts, draw valid conclusions, and create solutions. Physical Demands & Work Environment
Regularly sit, talk, see, and hear; use hands for keyboard and phone; lift up to 20 pounds occasionally. Remote work in a suitable, compliant environment with standard hours and breaks as per state regulations. Compensation & Benefits
Market competitive compensation program. Health, dental, vision, life, HSA/FSA, 401(k), PTO, paid holidays, and additional benefits. The company extends equal employment opportunities to qualified applicants and employees on an equal basis regardless of age, race, color, sex, religion, national origin, disability, veteran status, sexual orientation, gender identity, gender expression, or any other reason prohibited by law. Work Hours: 7:00AM - 4:00PM CST / 8:00AM - 5:00PM EST, Monday – Friday. Note: This description may include other roles and postings on the page; refer to Frost-Arnett Company for the official listing. No explicit expired date found in the provided text.
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Experienced Insurance Follow-Up Representation — Frost-Arnett Company The Insurance Billing & Follow-Up Representative ensures the efficient handling of all insurance billing, follow-up and collection activities. Communicates with insurance companies and state agencies. Completes reconciliation and billing of accounts, making independent decisions based on payer, coding and billing guidelines. The work may be long-term or short-term and depends on client needs and active projects. Knowledge of UB04 and HCFA claim forms, timely filing limits, payer portals, and general billing policies is required. Ability to work independently, meet daily productivity and quality goals, provide excellent customer service and communication skills, creativity, patience, and flexibility. Works under general supervision in a fast-paced environment. Responsibilities
Monitor, research, and resolve no response, denied, and underpaid medical claims on Medicare and Managed Medicare, Medicaid and Managed Medicaid, Government, Commercial, MVA, Workers’ Compensation, and other Third-Party Liability payers. Research claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution. Proactively follow-up on delayed payments by contacting patients and third-party payers, determine the cause of delay, and supply additional data as required. Research and resolve insurance payment recoupments and credit balances for all payer types. Collaborate with internal and client departments to verify and validate billing information and coding changes. Partner with clients and patients to obtain additional information that aids in resolving outstanding medical claims. Communicate with insurance companies to resolve denied and underpaid claims. Stay persistent in disputes with insurance companies regarding denied claims. Perform accurate follow-up activities and appeal within the appropriate time frame. Submit or re-submit claims and medical documentation; file payer reconsiderations and/or formal appeals as needed. Identify denial root causes and track denial trends by payer, location, and service billed. Document claim research, resolution activity, and next steps for each account. Work with multiple EMR and billing systems and adapt to client guidelines and payer system changes. Meet daily productivity and quality performance metrics; use department, payer, and client resources and independent research to complete tasks. Identify and escalate issues affecting accurate billing and follow-up activities. Act as a resource to peers and contribute to others’ growth in insurance follow-up skills. On a quarterly basis, exceed expectations in productivity and quality metrics; perform other duties as assigned. Qualifications
To perform this job successfully, individuals must be able to perform each essential function satisfactorily with or without reasonable accommodation. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. Education & Experience
Minimum High School diploma or equivalent required. Minimum 3-5 years of experience in denial management and insurance follow-up. Experience in medical billing, loading and verifying insurance in the correct filing order, and medical billing customer service and collections is desirable. Experience working directly with EOBs, contractual adjustments, and denial remittances is required. Working knowledge of medical and insurance terminology; knowledge of healthcare/insurance practices and processes; knowledge of federal, state, and local laws. Proven track record in billing, claim denial management, and follow-up protocols and best practices. Skills & Abilities
Strong PC, keyboard, and general computer skills; familiarity with Windows-based systems, Word, Email, and Excel preferred. Ability to compute basic math (percentages, sums, decimals) and to research documentation to resolve denials. Ability to work independently and in a team, adapt to high-volume, time-sensitive environment, and manage multiple tasks. Excellent listening, communication (verbal and written), and interpersonal skills; ability to handle confidential information. Ability to understand and reflect Frost-Arnett Mission, Vision, and Values in daily work. Language & Reasoning
Ability to communicate clearly with management, internal customers, and external parties; write business communications as needed. Reasoning: ability to define problems, collect data, establish facts, draw valid conclusions, and create solutions. Physical Demands & Work Environment
Regularly sit, talk, see, and hear; use hands for keyboard and phone; lift up to 20 pounds occasionally. Remote work in a suitable, compliant environment with standard hours and breaks as per state regulations. Compensation & Benefits
Market competitive compensation program. Health, dental, vision, life, HSA/FSA, 401(k), PTO, paid holidays, and additional benefits. The company extends equal employment opportunities to qualified applicants and employees on an equal basis regardless of age, race, color, sex, religion, national origin, disability, veteran status, sexual orientation, gender identity, gender expression, or any other reason prohibited by law. Work Hours: 7:00AM - 4:00PM CST / 8:00AM - 5:00PM EST, Monday – Friday. Note: This description may include other roles and postings on the page; refer to Frost-Arnett Company for the official listing. No explicit expired date found in the provided text.
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