Insurance Follow Up Representative
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Community Health Systems Professional Services Corporation
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Insurance Follow Up Representative
Community Health Systems Professional Services Corporation
Posted about 2 months ago
Full Time
Dothan, Alabama
In Person
Smart Summary
Responsibilities
The Insurance Follow-Up Representative ensures accurate insurance verification, authorization confirmation, and resolution of outstanding issues prior to patient services. They maintain patient account records and collaborate with various departments to facilitate timely reimbursement and billing.
Qualifications
You have 0-2 years of experience in a hospital or healthcare setting, with knowledge of insurance verification, benefits coordination, and prior authorization processes. You are proficient in healthcare software systems and Microsoft Office applications, demonstrating strong attention to detail and communication skills.
Must Have Skills for ATS
insurance verification
benefits coordination
prior authorization
Microsoft Office
healthcare software systems
Job Description
The Insurance Follow-Up Representative supports the revenue cycle by ensuring timely and accurate insurance verification, authorization confirmation, and resolution of outstanding insurance-related issues prior to patient services. This role is responsible for reviewing account information, communicating with insurance carriers and physician offices, and verifying that all insurance follow-up requirements are completed to avoid payment delays or denials. The Insurance Follow-Up Representative ensures that patient accounts are accurate and ready for billing.
Essential Functions
- Reviews patient accounts to verify insurance coverage, confirm authorizations, and ensure all required insurance information is captured and accurate prior to scheduled services.
- Communicates with insurance carriers, physician offices, and third-party vendors to confirm or obtain prior authorizations, eligibility, and benefit coverage.
- Updates and maintains patient account records with accurate demographic and insurance details in the system.
- Identifies and resolves discrepancies or missing information that may impact timely reimbursement.
- Documents all follow-up activities, communications, and account updates in the electronic health record and billing systems.
- Refers self-pay patients to the Financial Counselor and provides an accurate face sheet and account details to facilitate financial assistance.
- Assists with pre-registration processes by ensuring all required documentation is complete and forwarded to the appropriate departments.
- Collaborates with scheduling, registration, medical records, and billing teams to correct and validate information as needed.
- Provides reports or scheduling data to internal departments upon request.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
- 0-2 years of registration/clerical experience in a hospital or other healthcare environment required
- Knowledge of insurance verification, benefits coordination, and prior authorization processes.
- Strong attention to detail and data accuracy.
- Excellent communication and customer service skills.
- Ability to interpret and explain insurance policies and hospital payment procedures.
- Proficient in healthcare software systems and Microsoft Office applications.
- Ability to manage multiple tasks and prioritize work in a fast-paced environment.
- Strong problem-solving and organizational skills.
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Community Health Systems Professional Services Corporation
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