Convergent Revenue Cycle Management, a premiere national healthcare receivables management company, is seeking an Insurance Follow-Up Representative in our Peoria, IL office.
Reporting to the Insurance Supervisor, the Insurance Follow-Up Representative will assist the Insurance Follow-up department with verifying insurance coverage and eligibility on all new accounts, research, follow-up and resolve claims issues through effective communication with insurance companies, employers, and patients as needed.

Skills Required:

Responsibilities:
• Verify eligibility on all new or updated insurance information received
• Effectively communicate with insurance companies, employer and/or patients to resolve claims
• Submit bills to insurance companies for processing
• Organize accounts and submit for claim status inquiries
• Conduct phone calls on accounts to obtain status
• Request additional information as needed from clients, patients, and insurance companies
• Effectively navigate through the FACS system and understand its uses
• File correspondence and mail received
• Follow protocols as outlined by the department for each program within health insurance
• Maintain confidentiality of patient information including medical records (according to HIPAA and company guidelines)
• Search internet databases for information on insurance company, employer and patient when applicable
• Audit and review accounts as needed to ensure accuracy and efficiency
• All other duties as assigned by Supervisor

Job Requirements

•High School Diploma or equivalent required
• Prior experience in medical billing, verifying insurance coverage/ eligibility, charge entry, and calculating contractual reimbursements
• Highly organized and detail-oriented
• Ability to quickly learn and use FACS payment system and other hospital systems
• Possess basic knowledge of UB04, HCFA 1500 and Explanation of Benefits
• Excellent written and oral communication skills
• Ability to multi-task in a fast paced environment
• Medical billing and coding certification a plus

Employment Type:

Employee - Full Time

Compensation:

Compensation discussed during phone screening.