We are seeking a dedicated Insurance Account Representative to join our dynamic team, offering personalized client support and fostering robust relationships with our policyholders. Your expertise will contribute to the maintenance and growth of our client base through exceptional service and tailored insurance solutions. Join us in our commitment to providing peace of mind and security to our customers.

　　Responsible for timely identification and resolution of Insurance claims which include reviewing and/or processing Insurance remittances, working assigned denial and follow-up work queues, initiating secondary claims to be billed; working closely with Supervisor and Coder to reconcile accounts; working with Physician Practices and Hospital departments regarding authorization for services. Performs other related duties as required.

　　QUALIFICATIONS:

　　Education: High school diploma or equivalent is required. One to two years of college preferred

　　Experience: Prior experience working in a hospital, similar Medical Facility, or Physician’s Office for at least one year. Prior training in medical terminology and coding preferred

　　Other: Experience in Insurance billing and reimbursement necessary. Considerable interaction with patients and/or public which requires judgment, tact, and patience. Extreme accuracy and attention to detail is required. Must meet deadlines for having claims resolved. Ability to use standard office equipment including computers. Knowledge of third-party payers and knowledge of claim submission process for major Insurance companies is necessary.

　　TYPICAL PHYSICAL DEMANDS: Requires range of body within functional limits, including bending, reaching, standing, walking, with extended periods of sitting. Requires functional vision and hearing; sensory skills, manual and finger dexterity, and eye/hand coordination. Occasionally lifts and carries items weighing up to 25 pounds.