Remote Insurance Follow-Up Representative - Phoenix Workforce Solutions, LLC

Organization:

HSI Financial Services, LLC (HSI) is a subsidiary of Phoenix Health Care Management Services, Inc., and was created in 1983 as members first shared services initiative. Offering a full range of revenue cycle management solutions, HSI strives to provide superior service and financial value for its clients.

HSI is seeking a dedicated Insurance Follow-Up Representative who will be responsible for hospital and physician billing and follow-up. Must have experience with commercial and government payers. Responsibilities include follow-up for payment, work denials, appeals, and research.

Work Schedule Mon-Fri 7:30am - 4:00pm, one Saturday/month 8am-noon

This position will require the selected candidate to work on-site for the first 2 weeks for training purposes.

Essential Duties and Responsibilities:

• Includes the following: (Other duties may be assigned)
  1. Effectively work a high volume of claims daily
  2. Follow-up with insurance companies to determine claims status
  3. Following-through on appropriate action to expedite claims payment in accordance with hospital policies and procedures
  4. Sending correspondence as necessary to resolve claims
  5. Ensuring all accounts are properly documented

Keyword: Collections, customer service, call center, medical insurance
Required Experience:

Qualifications:

Must have a combination of education and experience within the field of healthcare revenue cycle including knowledge of commercial, Medicare, Medicaid, VA, Tricare and Workers Comp payers. Insurance Follow-up required and Billing knowledge is a plus.

Required Minimum Skills:
* Ability to problem-solve & troubleshoot insurance claims
* Working knowledge of Managed Care, Medicare and Medicaid
* Experience with Anesthesia billing and follow-up is a plus however it is not a requirement.
* Knowledge of Word and Excel
* Ability to work on multiple client systems
* Detail-oriented
* Focused on achieving personal, team and company goals
* Team-oriented but can also work independently
* Flexible to ongoing change
* Exceptional customer service and telephone skills
* Ability to handle high phone volume and
* Excellent verbal and written communication skills
* Excellent attendance record

Education and/or Experience, Skills and Abilities:

Ability to communicate clearly and respectfully by telephone and in written form to clearly document account activity.
Requires working knowledge of personal computers and automated dialer systems.
Knowledge of all related regulations including but not limited to individual client policies, procedures and HIPAA.

* Bilingual is a plus, but not a requirement.