Insurance Follow Up Rep

OverviewCHI Memorial Mountain ManagementCHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.We care about our employees’ well-being and offer benefits that complement work/life balance.We offer the following benefits to support you and your family:Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needsEmployee Assistance Program (EAP) for you and your familyHealth/Dental/Vision InsuranceFlexible spending accountsVoluntary Protection: Group Accident, Critical Illness, and Identity TheftAdoption AssistancePaid Time Off (PTO)Tuition Assistance for career growth and developmentMatching Retirement ProgramsWellness ProgramIf you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!ResponsibilitiesExpectations:Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system toensure appropriate reimbursement is received for all FMG providers.Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function.Establishes and maintains professional and effective relationships with peers and other stakeholders.QualificationsMinimum Qualifications:High School Diploma or GED equivalentKnowledge of insurance follow up process, clinic operations, general office principles, medical insurance, payer contract, and basic medical terminology and abbreviations, regulatory/reporting requirementsExcellent customer service, attention to detail, and the ability to maintain confidentially of medical recordsPreferred Qualifications:Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities.Graduation from a post-high school program in medical billing or other business-related fieldPay Range$14.08 - $19.36 /hourWe are an equal opportunity/affirmative action employer.