Insurance Follow-Up Representative in St Louis, Missouri, United States
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Insurance Follow-Up Representative

Insurance - External - CSO
St Louis, MO, United States
Full-time • Work From Home
Admitting Registration Clerical and Scheduling   Job ID: 26585-203359
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Description

SHIFT: Work From Home
SCHEDULE: Full-time


Do you have the career opportunities you want in your current role? We have an exciting opportunity for you to join the nation's largest provider of healthcare services as an Insurance Follow-Up Representative.

 

Our employees come first. We provide a total compensation package to make sure your needs are met. Choose the medical coverage package that best suits you. Look after your loved ones while still getting paid with our Paid Family Leave. Plan for your future with our matching 401k or opt-in for several other benefits including tuition assistance, student loan repayment, family and medical flex spending accounts, life insurance, and identity theft protection.

 

Parallon is dedicated to the growth and development of our colleagues. We will provide you the tools and resources you need to succeed in our organization. We are currently looking for an ambitious individual like you to help us reach our goals. Unlock your potential here!

 

 

As an Insurance Follow-Up Representative, you will process medical insurance accounts to address claim issues and to affect payment and/or bring them to resolution. You will research claim status with carriers via various portals to reach resolution and payment of claims.

 
What you will do in this role:
  • Status account and document all work performed in the company and client computer systems.
  • Assess accounts to determine the next appropriate course of action in line with company policies and procedures.
  • Place outbound calls to insurance companies, guarantors, patients, doctors’ offices and/or facilities and handle incoming calls as necessary utilizing proper customer service protocol.
  • Process related correspondence from insurance companies and perform pertinent follow-up.
  • Reconcile balances and payments between insurance companies and clients computer systems.
  • Escalate issues to Team Lead or Manager as necessary
  • Duties may vary by location
  • Adheres to and supports organizational IT&S standards, policies, and procedures.
  • Adheres to Code of Conduct
  • Performs other duties as assigned

 

Qualifications

  • Knowledge of medical and insurance terminology (such as procedure codes, diagnoses, and patient liability), and full understanding of hospital/physician billing
  • Ability to read and understand EOB statements
  • Understanding of co-pay, co-insurance, primary and secondary payer in regards to medical insurance coverage, paper and electronic claims processing
  • Minimum 1-2 years’ experience in Medical Billing/Follow-up for a facility, medical clinic, or doctor’s office and experience with Microsoft Office suite and standard office equipment required
  • High school diploma or equivalent preferred
Parallon is an industry leader in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare has been named a World’s Most Ethical Company by Ethisphere and is ranked in the Fortune 100.
 
If you find this opportunity compelling, we encourage you to apply. We promptly review all applications. If you are highly qualified you will hear from one of our managers. We are actively interviewing so apply today!
 
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

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Details

Insurance - External - CSO
Full-time • Work From Home

COVID-19 Vaccination

In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) dated November 4, 2021, and company policy, this role MAY require you to have received the first dose of a two-dose COVID-19 vaccination series (or a one-dose COVID-19 vaccination) by February 28, 2022, or to have applied for a medical or religious exemption. (For further clarification, please ask your recruiter.)

About HCA Healthcare

What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible.

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For questions about your job application or this site, please contact;
HCAhrAnswers at 1-844-422-5627 option 1.

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