Insurance Follow-up Representative
PIMS
25 reviews
Tampa, FL 33634
PIMS
25 reviews
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Physicians Independent Management Services Inc. is seeking to employ an Insurance Follow-up Representative who will be responsible for billing and collecting revenue for pathology claims. Typical duties include eligibility inquiry, submitting claims, and working with payors to resolve denied services. The core responsibilities will include: reviewing claims for complete information, correcting and completing forms as needed, and preparing claims for return to provider/subscriber if additional information is needed. Additional follow-up responsibilities include: maintaining all appropriate claims files and following up on suspended claims; assisting, identifying, researching and resolving coordination of benefits, and general inquiry issues, then communicating the results.
Qualifications: High school diploma. Knowledge of insurance and governmental programs, regulations and billing processes, managed care contracts, and coordination of benefits is strongly preferred. Working knowledge of medical terminology, anatomy and physiology, medical record coding (ICD-10, CPT, HCPCS), and basic computer skills are highly desirable.