Insurance Claims Representative

 

Summary: Insurance Claims Representatives are responsible for performing accounts receivable activity and revenue cycle administrative functions for one or more accounts efficiently and effectively.

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Essential Duties:

• Proficiency in all software programs utilized by assigned account(s)
• Accounts Receivable tasks including:
  • Communicating with insurance companies to ensure claims have been received and are processing correctly
  • Remedying claim denials
  • Retrieve and organize Explanation of Benefits (EOBs) from clients, clearinghouses, and insurance portals
  • Prepare, compile and send Patient Statements to client’s patients in accordance with each client’s services contract and company procedures

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