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Insurance Representative

Company: Bryn Mawr Medical Specialists Association
Location: Bryn Mawr
Posted on: June 12, 2024

Job Description:

The BMMSA Business Office is looking to add a full-time Insurance Representative 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 claimsCompletions of investigations and/or appeals of rejected or denied claimsCommunication with department staff members regarding required items for claims correctionsIdentification of claims requiring managerial review and assistanceAssisting patients in the understanding of insurance denials and/or their assigned cost sharing as neededFacilitate the identification or rejection and denial trendsMake corrections to claims information including but not limited to CPT codes, DX codes, referrals, and authorizations as directed by the departmentsCompletion of additional duties as assigned by managementQualifications:High school diploma of GED requiredPrevious insurance A/R experience preferredAbility to understand an insurance Explanation of Benefits including denial reason codes and the appropriate responses to those codesGeneral knowledge of ICD-10 and CPT codesCustomer ServiceAbility to communicate clearly and conciselyKnowledge of insurances, coverage guidelines, and payment policiesSelf-starter with the ability to work independently in the furtherance of the goals of the teamExperience with patient accounting and EMR softwareIntergy experience preferredMonday-Friday from 9am-5pmby Jobble

Keywords: Bryn Mawr Medical Specialists Association, Philadelphia , Insurance Representative, Other , Bryn Mawr, Pennsylvania

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