Responsible for resolving insurance balances related to coding denials by reviewing medical records and crafting appeals. The role involves communicating with payers and providers to ensure accurate reimbursement and financial health.
CHI Health Clinic
5 Remote Job Openings at CHI Health Clinic
As an Insurance Follow Up Rep, you will resolve unpaid insurance claims and collect outstanding balances from third-party payers. You will review denials, initiate follow-up with insurers, rectify billing errors, submit appeals, and negotiate for maximum reimbursement.
Assist patients with understanding insurance benefits, payment responsibilities, and available financial assistance programs. Coordinate with clinical staff to manage pre-authorizations and provide accurate cost estimates before treatment.
Develop and coordinate practice transformation initiatives focused on clinical quality, population health, and value-based care. Collaborate with leadership to provide analytic support and lead complex projects to drive integrated care solutions.
Responsible for resolving outstanding insurance balances and coding denials by reviewing medical records and communicating with payers. The role involves writing appeals, updating diagnosis codes, and troubleshooting reimbursement issues to protect revenue.