Remote Blue Cross High Dollar Insurance Follow-up Representative

Job Description Summary: The Insurance Account Representative owns a portfolio of accounts within Excalibur’s Client Partner’s Non-Government Accounts Receivable. This position is responsible for the rapid, compliant and patient-centric resolution of balances and the maximization of Excalibur’s Client Partner’s financial performance. Key Tasks and Deliverables: The Insurance Account Representative performs the following key tasks and is responsible for the following key deliverables: • Whether via website, portal or phone call, performs follow up with an aim towards the collection and resolution of assigned insurance balances. • Leverages understanding of managed care contracts, Payer behaviors and clean claim statutes to influence the intent of the Payer and overcome objections or delays to payment. • Understands expected reimbursement on assigned Payer (s); identifies and attempts to resolve and prevent payment discrepancies. • Submits/Re-submits UB-04, 1500 and/or other applicable Claim forms; accurately populating each field locator and attaching all associated documentation (to include Itemized Statements, Medical Records etc) where the Billing/Re-Billing function is assigned to Excalibur. • Works with Payers and Patients to resolve coverage, coordination of benefits and authorization issues that may impact resolution of a claim. • Consistently documents all Payer and Patient encounters in Hospital’s source system and/or Excalibur’s workflow solution. Skill Sets and Experience: The Insurance Account Representative must be able to demonstrate an ongoing command of the following: • Components of the UB-04 and CMS 1500 forms. • High Dollar Blue Cross Resolution. • Patient-Centric Customer Service. • Multi-system toggling and organizational efficiency. • Documentation, written and verbal communication. Additional Requirements or Preferred Experience Include: • Proficiency in Microsoft Office Products including Word, PowerPoint and Excel. • Understanding of Non Gov't Payers. • HIPAA and related Privacy and Security Acts and Regulations. • Excellent Communication Skills and an ability to connect with leaders and staff. • Team Player. • Passion for Healthcare and Follow Up. Education: • High School Diploma or equivalent is required for this position. Job Type: Full-time Pay: $18.00 - $25.00 per hour Benefits: • Dental insurance • Health insurance • Paid time off • Vision insurance Work Location: Remote Apply To this Job Company : Excalibur DDPM Salary : Work from home