Confidential Recruiting Partners
Insurance A/R Follow‑Up Representative
Confidential Recruiting Partners, Melville, New York, us, 11775
Insurance A/R Follow‑Up Representative | Physic...
Our client is seeking
Insurance A/R Follow-Up Representatives who will be responsible for managing outstanding insurance balances for physician billing. This role focuses on timely follow-up with Medicare, Medicaid, and commercial payers, resolving claim issues, submitting appeals, and ensuring accurate reimbursement. The ideal candidate has hands-on experience in physician billing, strong knowledge of insurance regulations, and the ability to work independently in a fast-paced revenue cycle environment. Responsibilities: Perform additional duties as assigned. Ensure compliance with HIPAA and all regulatory guidelines. Submit and track primary and secondary insurance claims. Prepare and submit appeals for denied or underpaid claims. Participate in required training, seminars, and educational activities. Verify patient insurance coverage and demographic information for accuracy. Update patient accounts and insurance information within the billing system. Perform follow-up on all outstanding insurance claims in accordance with established policies and timelines. Place outbound calls to insurance carriers to obtain claim status and resolve issues. Analyze Remittance Advice (RA) and Explanation of Benefits (EOB) to identify denials, underpayments, and required corrections. Determine patient responsibility and communicate discrepancies to guarantors when needed. Qualifications/Must Haves: High School Diploma or GED. Knowledge of HIPAA compliance requirements. Excellent written and verbal communication skills. Ability to work independently and follow direction. Strong organizational, analytical, and multitasking abilities. Proficient computer skills and ability to navigate billing systems. 1–2 years of prior physician billing experience, including insurance carrier follow-up. Strong understanding of Medicare/Medicaid regulations and commercial insurance coverage. Preferred Qualifications: Familiarity with physician revenue cycle workflows. Prior experience analyzing EOBs and preparing appeals. Experience with Epic or similar medical billing software.
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Our client is seeking
Insurance A/R Follow-Up Representatives who will be responsible for managing outstanding insurance balances for physician billing. This role focuses on timely follow-up with Medicare, Medicaid, and commercial payers, resolving claim issues, submitting appeals, and ensuring accurate reimbursement. The ideal candidate has hands-on experience in physician billing, strong knowledge of insurance regulations, and the ability to work independently in a fast-paced revenue cycle environment. Responsibilities: Perform additional duties as assigned. Ensure compliance with HIPAA and all regulatory guidelines. Submit and track primary and secondary insurance claims. Prepare and submit appeals for denied or underpaid claims. Participate in required training, seminars, and educational activities. Verify patient insurance coverage and demographic information for accuracy. Update patient accounts and insurance information within the billing system. Perform follow-up on all outstanding insurance claims in accordance with established policies and timelines. Place outbound calls to insurance carriers to obtain claim status and resolve issues. Analyze Remittance Advice (RA) and Explanation of Benefits (EOB) to identify denials, underpayments, and required corrections. Determine patient responsibility and communicate discrepancies to guarantors when needed. Qualifications/Must Haves: High School Diploma or GED. Knowledge of HIPAA compliance requirements. Excellent written and verbal communication skills. Ability to work independently and follow direction. Strong organizational, analytical, and multitasking abilities. Proficient computer skills and ability to navigate billing systems. 1–2 years of prior physician billing experience, including insurance carrier follow-up. Strong understanding of Medicare/Medicaid regulations and commercial insurance coverage. Preferred Qualifications: Familiarity with physician revenue cycle workflows. Prior experience analyzing EOBs and preparing appeals. Experience with Epic or similar medical billing software.
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