A healthcare employer in Houston, TX is seeking an Insurance Follow Up and Denials Representative to join their team. This position is hybrid and will be onsite 1 day a week once the initial training period has been completed. In this position the representative will be responsible for reviewing denied or rejected insurance claims, investigating the reasons for denial, correcting any errors in billing or coding, compiling supporting documentation and submitting appeals to insurance companies to recover outstanding patient balances, while actively monitoring claim status and following up with payers to resolve outstanding issues.
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Minimum 3 years of experience with working insurance follow ups and denials
Ability to analyze claim denials, identify root cause and develop effective strategies for appeals
Experience navigating the payor portals as well as calling the payors directly
Experience with EPIC
High school diploma or GED
Experience with Insurance Verification
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.