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Medical Insurance Follow Up Representative
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Medical Insurance Follow Up Representative

Job Description

Parathon Recovery Services was established by bringing together a team of well-respected and results driven executives with a reputation of client driven performance. Our fusion of technology, revenue cycle leadership, and collection experience take us to the top of the industry. Our innovative solutions foster continuous success and growth of our client organizations. 

The Insurance Follow Up Representative is primarily responsible for reviewing claims and contacting payors to determine why the claim was not paid or underpaid. This includes providers located within and outside of the state of Illinois

RESPONSIBILITIES

  • Interact with, understand and update programs used to manage patient accounts.
  • Review Payer/Provider contracts to determine if they are being interpreted and administered appropriately.
  • Review and interpret Payer/Provider contracts with clients for use in supporting expected reimbursement calculations for system resolution.
  • Report any detected trends in underpayments or denials to Supervisor.
  • Review Payer remittance advices to determine correct payment amounts and patient responsibilities.
  • Maintain confidentiality at all times.
  • Maintain a professional and courteous approach when communicating with insurance companies and co-workers.
  • Maintain a current working knowledge of all healthcare related issues and regulations including insurance company practices regarding reimbursement. 

Job Requirements


  • 2 years of healthcare experience - office/coding/billing. Hospital setting preferred.
  • Knowledge of the revenue cycle process
  • Ability to interpret and discuss insurance EOB and payments and UBs
  • Understanding of ICD-9, DRG, CPT, and HCPCS

Job Snapshot

Employment Type Full-Time
Job Type Health Care
Education High School
Experience 2 to 5 years
Manages Others No
Industry Consulting, Healthcare - Health Services
Required Travel None
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Medical Insurance Follow Up Representative


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