Insurance Patient Account Representative NEW

Bryn Mawr, Pennsylvania
Bryn Mawr Medical Specialists Association
Job DescriptionJob 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 be limited to, timely follow up on claims rejected or denied by our clearinghouse and/or the patient’s 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

Ability to Relocate:

• Bryn Mawr, PA: Relocate before starting work (Required)

Work Location: In person