TOP ORTHOPAEDIC PRACTICE SEEKING AN INSURANCE FOLLOW UP REPRESENTATIVE!

Are you interested in working for the largest orthopedics group in Delaware/Chester County? One that has been nominated as a TOP WORKPLACE by the Philadelphia Inquirer for five consecutive years? If so, you are in the right place!!

The Company:

Premier is a full-service orthopaedic practice formed in 2000 that specializes in the diagnosis and care for a wide range of orthopaedic injuries. We have more than 70 physicians and 28 physician locations, 17 physical therapy locations, 4 MRI facilities and 2 urgent care centers!

We’re proud of the company we’ve built as we’ve grown to over 700 employees to make Premier a place that people love to come to work every day!

The Benefits:

• Comprehensive benefits; including medical, vision, and dental plans, 100% employer paid life insurance, 401k match, among other supplemental benefits!
• Generous paid personal, sick, and vacation time off
• Hybrid work schedule
• Excellent growth and advancement opportunity! Our jobs are always posted internally for our employees to access
• Employee referral reward program

Insurance Follow- Up Representative Summary:

The Insurance Follow-Up Representative is responsible for the facilitation of insurance billing and collection activities, following patient accounts through the billing process to the payor, working with the payor through claims processing, and ensuring reimbursement to the practice.

Essential Duties for the Insurance Follow-Up Representative:

• Reviews insurance denials and rejections to determine next appropriate action steps and obtains necessary information to resolve any outstanding denials/rejections.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
• Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
• Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff, and patients.
• Obtains and attaches referrals/authorizations to appointments/charges.
• Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.
• Assumes full responsibility of reducing the accounts receivable of insurance balances by working through outstanding accounts.
• Analyzes accounts for proper claims processing and payment posting through inquiries from patients or staff.
• Identifies and communicates trends and/or potential issues to management team.
• Follows and maintains all Premier policies and procedures, including those specific to billing and the Revenue Cycle.

Insurance Follow-Up Representative Education:

• High School Diploma/GED or equivalent working knowledge preferred.

Insurance Follow-Up Representative Experience:

• A minimum of two to three years of experience in medical billing.
• Must be able to communicate effectively with physicians, patients and the public and be capable of establishing good working relationships with both internal and external customers

Insurance Follow-Up Representative Knowledge:

• Knowledge of the physician billing processes, ICD-10 and CPT coding.
• Advanced computer knowledge, including Window based programs. Experience with GE patient management system preferred. Knowledge of insurance plan websites and portals
• Knowledge of revenue cycle processes.
• Knowledge of policies and procedures with regards to physician billing processes including determining insurance eligibility and coordination of benefits.

Abilities and Skills:

• Ability to maintain patient confidentiality.
• Ability to multitask in a fast-paced environment and work well under pressure.
• Ability to be detailed oriented with strong organizational skills.
• Ability to understand patient demographic information and determine insurance eligibility.
• Ability to work independently and as part of a team.
• Ability to communicate clearly and effectively.
• Skill in providing excellent customer service.
• Skill in using computer programs and applications.
• Skill in effective data collection and analysis.

About Premier Orthopaedics and Sports Medicine

Premier is an equal opportunity employer and does not discriminate based on race, color, religion, sex, national origin, age, disability or any other protected class. This policy applies to all terms and conditions of employment. If due to a disability, you need assistance or accommodation in completing the employment application or during the interviewing or screening process, please contact us at 610.723.7251.

Job Type: Full-time

Pay: From $34,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Newtown Square, PA 19073: Reliably commute or planning to relocate before starting work (Preferred)

Experience:

• Medical billing: 2 years (Preferred)

Work Location: Hybrid remote in Newtown Square, PA 19073

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