Skip to Main Content

Insurance Claims Handler

Centers for Gastroenterology
Fort Collins, CO
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

General Summary: The Insurance Follow Up Representative is responsible for following up on unpaid claims to investigate and get the claims paid as quickly as possible.

Essential Job Functions:

  • Works the unpaid queues daily. All claims unpaid in the 60 days and older are reviewed and action is taken to get the claims paid. A tickler file is kept for claims appealed and rebilled.
  • Uses technology and direct calls to the insurance companies to investigate claims.
  • Writes cover letters and appeals to work effectively with insurance companies to get claims paid.
  • Communicates with patients and insurance companies to resolve claims issues.
  • Checks clearinghouse dashboard daily for errors in electronic billing process and corrects as needed.
  • Works multiple queues for follow-up and payment distribution.
  • Other duties as assigned


Competencies:

· Effective Communication—Ability to communicate clearly both verbally and in writing with diverse groups; understanding of and ability to explain insurance and financial information to patients.

· Documentation and Information Recording—Possess excellent attention to detail as well as data entry skills. Accurate entry of patient information; and ability to investigate, ask follow-up questions, or track timelines to resolve issues that arise. Maintain confidential information.

· Customer Service—Listen attentively; respond to questions appropriately and timely. Possess kind and pleasant demeanor as well as demonstrate patience over the phone. Ability to take direction as needed.

· Time Management—Must be able to work under pressure and complete multiple projects or tasks according to established timeframes. Enjoy working in a high-energy, fast-paced environment. Demonstrate resourcefulness and creative problem-solving as needed.

· Professionalism—Build solid working relationships and be support of co-workers; foster a friendly work environment, focused on providing patient access.

Qualifications/ Education and Experience:

· High school graduate or equivalent

· Medical office billing – 2 years experience.

· Claims follow up 2 years experience.

· Knowledge of ICD-10 and CPT codes.

· Knowledge of medical terminology (i.e., Deductible, Co-Insurance, Out-of-pocket max, ext.).

· Excellent computer skills

Performance Measurement

Aging over 120 days between 10-20%.

Employee is generally regarded as polite and helpful by patients and co-workers.

Physical Requirements/Conditions:

  • Ability to walk, stand, stoop, bend or sit for extended periods of time.
  • Physical demands: Walking 20%- delivering information to other departments.
  • Sitting 80%- entering data into the computer system; answering the telephone.
  • Ability to speak clearly to be understood by employees and patients.
  • Ability to hear within normal range even with a noisy desk work area.
  • Acuity near and far. Ability to see within normal parameters, and to distinguish colors.
  • Works in a well-lit heated/air-conditioned environment.
  • Work may involve exposure to communicable diseases medicinal preparations and other conditions common to a clinic environment.


Equipment Used:

Computer, printer, multi-line telephone, headset, fax machine/e-fax, scanner, and postage machine.

Benefits: CFG sponsored benefit package includes employer paid medical insurance with HSA and MERP, paid time off, extended illness benefit, and generous 401(k) plan with matching contributions.

Equal Employment Opportunity

The Centers for Gastroenterology is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, military or veteran status.

Job Type: Full-time

Centers for Gastroenterology

Why Work Here?
Privately owned, growing practice with great medical benefits and stellar PTO accrual.

Address

3702 S Timberline Rd #A

Fort Collins, CO
80525 USA

Industry

Finance and Insurance

View all jobs at Centers for Gastroenterology