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.


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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