insurance follow up representative

Advocate Aurora Health

<div><div>MAJOR RESPONSIBILITIES</div><div><ul><li>
Independently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines.</li><li>
Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (ie;CPT,ICD-10 and HCPCS, NDC, revenue codes and medical terminology).Will obtain necessary documentation from various resources.</li><li>
Ability to timely and accurately communicate with internal teams and external customers (ie; third party payors, auditors, other entity) and acts as a liaison with external third party representatives to validate and correct information.</li><li>
Comprehends incoming insurance correspondence and responds appropriately. Identifies and brings patterns/trends to leaderships attention re:coding and compliance, contracting, claim form edits/errors and credentialing for any potential in delay/denial of reimbursement. Obtains and keeps abreast with insurance payer updates/changes, single case agreements and assists management with recommendations for implementation of any edits/alerts.</li><li>
Accurately enters and/or updates patient/insurance information into patient accounting system. Appeals claims to assure contracted amount is received from third party payors.</li><li>
Complies and maintains KPI (Key Performance Indicators) for assigned payers within standards established by department and insurance guidelines.</li><li>
Compile information for referral of accounts to internal/external partners as needed. Compile and maintain clear, accurate, on-line documentation of all activity relating to billing and follow up efforts for each account, utilizing established guidelines.</li><li>
Responsible to read and understand all Advocate Aurora Health policies and departmental collections policies and procedures. Demonstrate proficiency in proper use of the software systems employed by AAH.</li><li>
This position refers to the supervisor for approval or final disposition such as: recommendations regarding handling of observed unusual/unreasonable/inaccurate account information. Approval needed to write off balance&rsquo;s according to corporate policy. Issues outside normal scope of activity and responsibility.</li></ul><div>
MINIMUM EDUCATION AND EXPERIENCE REQUIRED</div><ul><li>
Level of Education: High School Diploma or General Education Degree (GED)</li><li>
Years of Experience: Typically requires 1 year of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience.</li></ul><div>
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES (KSA)</div><ul><li>
Must perform within the scope of departmental guidelines for productivity and quality standards.</li><li>
Works independently with limited supervision.</li><li>
Accountable and evaluated to organization behaviors of excellence</li><li>
Basic keyboarding proficiency.</li><li>
Must be able to operate computer and software systems in use at Advocate Aurora Health.</li><li>
Able to operate a copy machine, facsimile machine, telephone/voicemail.</li><li>
Ability to read, write, speak and understand English proficiently.</li><li>
Ability to read and interpret documents such as explanation of benefits (EOB), operating instructions and procedure manuals.</li><li>
Preferred but not required knowledge of medical terminology, coding, terminology (CPT, ICD-10, HCPC) and insurance/reimbursement practices.</li><li>
Ability to communicate well with people to obtain basic information (via telephone or in person).</li></ul>
 This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.</div></div>

Billing Follow Up Representative I

DataSearch, Inc.

******Bilingual Patient Account Representative******DataSearch Inc., a 50 Year Old Provider of Medical Receivable Services is Seeking Full Time Experienced Professionals. We have Immediate Openings for Call Center Collection Representatives for Early Stage hospital and physician accounts. Starting Pay based on experience, plus unlimited Monthly Incentive that is paid the following month! Major Medical Insurance after Ninety Days, Free Life Insurance, Paid Vacations and Holidays, and matching 401K. Our Clients represent some of the most respected Healthcare Providers throughout Texas and the United States. If you are Self-Motivated and driven to succeed, contact us immediately. EOE Direct Hire. Customer Service, and/or Call Center, Experience Required. Experience following up on Hospital or Physician claims is highly desireable! Must be fully fluent in both English and Spanish.Full Time, with 8 hours daily, Monday through Friday.JOB SUMMARYAccountable for all parts of Collection and follow up processes.PRIMARY DUTIES AND RESPONSIBILITIES<ul><li>Responsible for account follow up and collections. This includes inbound and outbound calls daily.</li><li>Accurately and thoroughly document the collection activity performed.</li><li>Review the account information and necessary system applications to determine the subsequent appropriate work action.</li><li>Verify account resolution utilizing appropriate resources and applications.</li><li>Initiate telephone or letter contact to patients to obtain payment options.</li><li>Manage and maintain desk inventory daily and resolve high priority and aged inventory.</li><li>KNOWLEDGE, SKILLS, ABILITIES</li><li>To perform this job to its fullest and be successful an individual must be able to perform each necessary task satisfactorily. The qualifications below are representative of the knowledge, skill and/or ability we are seeking in applicants.</li><li>Qualifications:</li><li>Outstanding Customer Service Skills</li><li>Good written and verbal communication skills</li><li>Technical skills including PC and MS Outlook</li><li>Basic Math skills</li><li>Type minimum 40 wpm</li></ul>*<ul><li>EDUCATION / EXPERIENCE</li><li>High school diploma or equivalent education</li><li>1-5 Years&rsquo; experience in call center, customer service, or 3rd party collections</li></ul>Job Type: Full-timePay: $14.00 - $16.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Experience:<ul><li>customer service: 1 year (Required)</li><li>call center: 1 year (Required)</li></ul>Language:<ul><li>Spanish (Preferred)</li></ul>Ability to Commute:<ul><li>San Antonio, TX 78216 (Required)</li></ul>Ability to Relocate:<ul><li>San Antonio, TX 78216: Relocate before starting work (Required)</li></ul>Work Location: In person

BILINGUAL Customer Service/Collections Specialist

Prisma Health

<div>Inspire health. Serve with compassion. Be the difference.
Job Summary
Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles.
Essential Functions<ul><li>
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.</li><li>
Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs.
</li><li>Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need.
</li><li>Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed.
</li><li>Ensures all work is compliant with privacy, HIPAA, and regulatory requirements.</li><li>
Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance.
</li><li>Answers all incoming calls from Prisma Health patients
</li><li>Performs other duties as assigned.</li></ul>
Supervisory/Management Responsibilities<ul><li>
This is a non-management job that will report to a supervisor, manager, director or executive.</li></ul>
Minimum Requirements<ul><li>
Education - High School diploma or equivalent OR post-high school diploma / highest degree earned</li><li>
Experience - Two (2) years billing, bookkeeping, and/or accounting experience</li></ul> 
In Lieu Of<ul><li>
NA</li></ul>
Required Certifications, Registrations, Licenses<ul><li>
NA</li></ul> 
Knowledge, Skills and Abilities<ul><li>
Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist.
</li><li>Knowledgeable of the entire Revenue Cycle and Epic.</li></ul>
Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
7001 Corporate
Department
70019935 System Billing Office
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.</div>

Single Billing Office Customer Service Representative, FT, Days, - Remote

Mercedes-Benz Group

<div>The Business Development Center (BDC) Representative is responsible for receiving, processing, verifying, and distributing information from inbound calls, to include but not limited to inquiries on new and pre-owned vehicles, internet leads, and providing general information. Employee is also responsible for handling inbound service inquiries, setting and confirming appointments, and making outbound calls regarding various customer care protocols including follow up on missed appointments, vehicle service status, service reminders, parts order status, and after-service follow up.
Position is 100% on-site.
Essential Duties include the following; however, other duties and responsibilities may be assigned.
<ul><li>Answer incoming calls for various service and sales inquiries and/or appointments.
</li><li>Make outbound calls to existing customers for various purposes including scheduling and confirming service appointments, providing vehicle status, follow-up service calls, and providing special programs information.
</li><li>Establish and track all guest data and enter into the CRM.
</li><li>Interact with customers with an emphasis on customer care by maintaining a friendly, courteous, and professional demeanor and provide accurate information.
</li><li>Schedule service appointments, to include date and time, for guests to meet with an Assistant Service Manager to address any service needs.
</li><li>Utilize detailed scripts provided by Dealership to ensure customer inquiries and concerns are addressed accurately and consistently and in accordance with Dealership and manufacturer objectives.
</li><li>Promptly and accurately enter all customer data, including name, date/time of call, nature of communication, and any other relevant information into the CRM.
</li><li>Complete all (100%) &ldquo;To-Do&rsquo;&rdquo; items, as assigned to the Employee in the CRM, on a daily to ensure timely customer care and follow up.
</li><li>Adhere to Dealership&rsquo;s policies regarding the National Do Not Call List and Privacy Acts.
</li><li>Follow-up in a timely manner on all internet leads as directed by management, policy and/or procedures.
</li><li>Obtain assistance when the need arises to move outside the call center and to communicate with the dealership management or front-line employees on behalf of the customer.
</li><li>Perform other duties, as assigned.
</li></ul>Hourly rate of $20.00 to $22.00, depending on experience.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The individual should possess:
<ul><li>Previous customer service experience
</li><li>Sales experience required.
</li><li>Requires strong communication skills to work effectively with customers.
</li><li>Excellent follow through and follow-up skills.
</li><li>Proficiency in Microsoft Word, Excel, PowerPoint and Outlook.
</li><li>Able to problem solve and handle a variety of issues.
</li><li>Must be self-motivated and able to follow direction and able to work independently or as a team.
</li><li>Ability to multi-task projects, establish priorities, work independently and organize effectively.
</li><li>Must be detail orientated and be able to work under pressure.
</li></ul>Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Individual will be required to:
<ul><li>Spend a significant amount of time on the telephone and in front of a computer.
</li><li>Frequently required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.
</li><li>Occasionally required to sit, climb, balance, stoop, kneel, crouch or crawl.
</li><li>Frequently lift and move up to 10 pounds and occasionally lift and move objects up to 25 pounds.
</li></ul>The above job description is only intended as a summary of the position&rsquo;s responsibilities and does not include all duties that may be required to satisfactorily perform the job.
Mercedes-Benz is an equal opportunity employer and maintains a drug and alcohol-free workplace.
<div>Mercedes-Benz of Columbus North will soon open and is looking for results driven, team focused, dedicated people to join our team. To explore more about the positions for which we are currently accepting applications, please click the link below. Start your engines and apply online today! 
Our compensation and benefits package includes: 
<ul><li>Medical, Dental, Vision and Prescription Insurances</li><li>Company Paid Life Insurance</li><li>401(k) Savings and Retirement Plan</li><li>Tremendous Opportunity to Learn, Advance and build a Career</li></ul>
Mercedes-Benz of Columbus North is an Equal Opportunity Employer.</div>
Pay: $20.00 - $22.00 / hour
Benefits:<ul><li>
Paid time off</li><li>
Health insurance</li><li>
Dental insurance</li><li>
Vision insurance</li><li>
Disability insurance</li><li>
401(k)</li></ul>
Job Type: fulltime, parttime
Education: No education required
Work location: On-site</div>

BDC Representative

Toyota of Fox Lake

<div><h2 class="jobSectionHeader">Bilingual Service BDC Representative</h2>
<h3 class="jobSectionHeader">Build Your Career with Bob Loquercio Auto Group</h3>

Award-Winning Bob Loquercio Auto Group is looking for a qualified, motivated, and self-sufficient individual to join our growing team! If you are a driven professional who thrives in a fast-paced environment and enjoys delivering exceptional customer service, we have the opportunity you&rsquo;ve been looking for.

We are currently seeking a Bilingual Service BDC Representative to support our high-volume service department by assisting customers, scheduling appointments, and creating an outstanding customer experience from the very first interaction. The ideal candidate is professional, organized, customer-focused, and fluent in both English and Spanish.
<h2 class="jobSectionHeader">
What We&rsquo;re Looking For:</h2>

As a Bilingual Service BDC Representative, you will be responsible for handling inbound and outbound customer communications, responding to internet inquiries, scheduling service appointments, and maintaining strong customer relationships through effective follow-up and communication.

The ideal candidate will possess excellent communication skills, strong attention to detail, and the ability to multitask while maintaining a positive and professional attitude.
<h2 class="jobSectionHeader">
Benefits:</h2>
<ul><li>Medical Plan</li>
<li>Dental Plan</li>
<li>Vision Plan</li>
<li>401(k) Savings Plan</li>
<li>Basic Life Insurance</li>
<li>Accident &amp; Critical Illness Insurance</li>
<li>Employee Discounts on Products and Services</li>
<li>Flexible Schedules</li>
<li>Work-Life Balance</li>
<li>Career Growth Opportunities</li>
</ul><h2 class="jobSectionHeader">Responsibilities:</h2>
<ul><li>Respond promptly, professionally, and courteously to all customer inquiries via phone, email, text, and internet leads</li>
<li>Schedule and confirm service appointments for customers</li>
<li>Follow up with customers regarding missed appointments, declined services, and service reminders</li>
<li>Utilize scripts, CRM tools, and dealership workflows to ensure consistent customer service standards</li>
<li>Promptly and accurately enter all customer information into CRM software</li>
<li>Effectively manage inbound and outbound communication to maximize appointment retention and customer satisfaction</li>
<li>Work closely with service advisors and management to ensure smooth appointment flow and customer experience</li>
<li>Compile reports, forms, and other documentation in a timely manner</li>
<li>Maintain professionalism and ethical behavior in all customer interactions</li>
<li>Deliver an exceptional customer experience while representing the Bob Loquercio Auto Group brand</li>
</ul><h2 class="jobSectionHeader">Qualifications:</h2>
<ul><li>Bilingual in English and Spanish required</li>
<li>Previous BDC, call center, customer service, or automotive experience preferred</li>
<li>Strong communication and interpersonal skills</li>
<li>Ability to multitask in a fast-paced environment</li>
<li>Strong computer and CRM skills</li>
<li>Positive attitude with a team-oriented mindset</li>
<li>Reliable, organized, and self-motivated</li>
<li>Professional phone etiquette and customer service skills</li>
</ul>
Join a company that values its employees, promotes growth from within, and provides the tools and support needed for success. Become part of the Bob Loquercio Auto Group team today!</div>

BDC Service Representative

Urology Centers of Alabama

<div>General Summary
The Patient Account Representative will utilize the EMR and insurance systems to verify coverages and provide accurate information to allow for collection of all accounts. Maintain claims processing, including accurate and timely claim creation, follow-up and correspondence with insurance inquiries/correspondence. Assure payments are recorded and reconciled timely in order to maximize revenues. Counsels patients on financial matters to assure prompt payments are received for services.<div>
</div>Minimum Qualifications<ul><li>
Must demonstrate a working knowledge of CPT and ICD-10 coding systems. Knowledge of individual codes not required.
</li><li>Must demonstrate experience with verifying insurance eligibility, including with Alabama Medicaid&rsquo;s State Eligibility System.</li><li>
Must demonstrate sound knowledge of medical collection practices.
</li><li>Must show the ability to learn and understand an electronic medical record.</li><li>
Must show the ability to have excellent interpersonal skills and communication to interact with all walks of life, internal and external to UCA, from all educational or cultural backgrounds.
</li><li>Must show the ability to work independently or within a team in a fast-paced environment.</li><li>
Must show proficiency in use of a variety of office equipment including a PC, Windows, MSOffice, EMR system, multi-line telephone, copier, facsimile machine, etc.</li><li>
Must show the ability to maintain confidentiality, including strict adherence to HIPAA and UCA Guidelines.</li><li>
Must have a high school diploma or GED equivalent.</li></ul><div>
</div>Preferred Qualifications<ul><li>
May have an associate degree or higher in medical billing and coding.</li><li>
May have three (3) to five (5) years&rsquo; experience in healthcare billing claims.</li><li>
Show experience with Greenway or Allscripts EMR system.</li></ul><div>
</div>Licensure, Certification, Registration Requirements
None.<div>
</div>Supervisory Requirements
This position will not supervise any other staff members.<div>
</div>Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move more than 25 pounds.
Essential Functions<ul><li>
Prepares and submits clean claims to third party payers either electronically or by paper.</li><li>
Maintains relationship with clearinghouse, including appropriate follow-up with support issues.</li><li>
Coordinate the process of patient eligibility through various third-party sources.</li><li>
Coordinate collection process, to include any projects from Greenway accounts and tracking in soon to be collections in Allscripts.</li><li>
Maintain monthly statement process.</li><li>
Escalate patient issues to Director of Revenue Cycle.</li><li>
Work with reception staff, ensure appropriate collection of co-pays, deductible and self-pay fees.</li><li>
Handles patient inquiries and answers questions from clerical staff and insurance companies.</li><li>
Identifies and resolves patient billing problems.</li><li>
Denial and insurance follow-up management.</li><li>
Issues adjusted, corrected, and/or rebilled claims to third party payers.</li><li>
Posts adjustments transfer of responsibility and refunds, as necessary.</li><li>
Assure coding is compliant and up to date.</li><li>
Reviews accounts and makes recommendations to the Director regarding non collectible accounts.</li><li>
Other relevant duties as assigned.</li></ul></div>

Biller - FT

Chief Financial Credit Union

<div>Collections Representative I
(Member Solutions / Customer Service) 
 $18&ndash;$22 per hour 
 Full-Time | Lending Department | Credit Union
Chief Financial Credit Union is seeking a compassionate and solution-focused Collections Representative I to join our team.
This role focuses on early-stage member outreach and support, helping members who are just beginning to fall behind on payments. Our approach to collections is centered on member service, education, and problem-solving &mdash; working with members to find solutions and prevent further financial hardship.
If you enjoy helping people, having meaningful conversations, and making a real impact, this is a great opportunity to start or grow your career in financial services.
What You&rsquo;ll Do
Contact members with accounts 11&ndash;29 days past due to assist with bringing loans current
Work with members to identify payment solutions and repayment options
Handle returned payments and checks, ensuring timely follow-up and resolution
Contact members experiencing first-payment defaults and help resolve issues early
Review accounts for loan maturity and payment accuracy
Maintain accurate records of all member interactions and account activity
Collaborate with internal departments to resolve account-related issues
Follow all credit union policies, procedures, and regulatory requirements
A Member-First Approach to Collections
At Chief Financial Credit Union, we take a service-driven approach to collections.
This role is not about high-pressure tactics &mdash; it&rsquo;s about:
Helping members understand their options 
Providing guidance during financial challenges 
Building trust through respectful, professional communication 
Creating positive outcomes for both the member and the Credit Union
What We&rsquo;re Looking For
Strong customer service and communication skills
Ability to handle sensitive conversations with empathy and professionalism
Problem-solving mindset with attention to detail
Ability to manage multiple accounts and follow up consistently
Professional, reliable, and team-oriented attitude
Preferred Experience
Customer service, call center, or collections experience
Banking, credit union, or financial services experience
Experience handling payments, account issues, or difficult conversations
Great Opportunity for Customer Service Professionals
This role is a great fit for candidates with experience in:
Customer service or call center roles
Retail or hospitality environments
Cash handling or payment-related positions
Sales or customer-facing roles
Many successful Collections team members come from customer service backgrounds and build long-term careers in financial services.
Career Growth Opportunities
This position is an excellent entry point into our Collections team.
Opportunities to advance through our Collections career path with increasing responsibility and pay.
Team members may grow into roles such as:
Collections Representative II
Senior Collections Specialist
Collections Leadership roles
Compensation &amp; Benefits
We offer a competitive compensation and benefits package, including:
 $18&ndash;$22 per hour depending on experience
Medical (BCBSM PPO &amp; HMO options) with employer contribution
Dental insurance with employer contribution
Vision coverage
401(k) with employer match
Generous Paid Time Off
Paid Federal Holidays
Professional development opportunities
Supportive, team-oriented work environment
Make a Meaningful Impact
At Chief Financial Credit Union, our Collections team plays a key role in helping members navigate financial challenges and regain stability.
If you&rsquo;re looking for a role where you can help people, build valuable skills, and grow your career, apply today.
Keywords: 
Collections Representative, Customer Service Representative, Call Center, Member Solutions, Financial Services, Account Resolution, Payment Plans, Banking, Credit Union</div>

Collection Representative I

Search 10000+ Insurance follow up representative jobs near you this May. New roles added regularly across leading industries. Apply today.