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Insurance Patient Account Representative at Bryn Mawr Medical Specialists Association – Bryn Mawr, Pennsylvania

Bryn Mawr Medical Specialists Association
Bryn Mawr, Pennsylvania, 19010, United States
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About This Position

The Bryn Mawr Medical Specialists Association Business Office is looking to add a full-time Insurance Representatives to their team. As an Insurance Representative, your sole focus and responsibility will be your assigned physician(s) insurance A/R. This function will include, but not be limited to, timely follow up on claims rejected or denied by our clearinghouse and/or the patient's insurance carrier, completion of investigations and appeals according to the prescribed policies of the carrier, communication of corrections required by internal clinical and non-clinical departments including charge entry and registration staff and assisting patients in understanding their insurance related balances.

Functions/Responsibilities:
  • Examination and timely follow up on unpaid claims
  • Completions of investigations and/or appeals of rejected or denied claims
  • Communication with department staff members regarding required items for claims corrections
  • Identification of claims requiring managerial review and assistance
  • Assisting patients in the understanding of insurance denials and/or their assigned cost sharing as needed
  • Facilitate the identification or rejection and denial trends
  • Make corrections to claims information including but not limited to CPT codes, DX codes, referrals, and authorizations as directed by the departments
  • Completion of additional duties as assigned by management
Qualifications:
  • High school diploma of GED required
  • Previous insurance A/R experience preferred
  • Ability to understand an insurance Explanation of Benefits including denial reason codes and the appropriate responses to those codes
  • General knowledge of ICD-10 and CPT codes
  • Customer Service
  • Ability to communicate clearly and concisely
  • Knowledge of insurances, coverage guidelines, and payment policie
  • Self-starter with the ability to work independently in the furtherance of the goals of the team
  • Experience with patient accounting and EMR software
  • Intergy experience preferred
Job Type: Full-time
Benefits:
  • 401(k)
  • Dental insurance
  • Disability insurance
  • Health insurance
  • Paid time off
  • Vision insurance
Ability to Relocate:
  • Bryn Mawr, PA: Relocate before starting work (Required)
Work Location: In person

Job Location

Bryn Mawr, Pennsylvania, 19010, United States

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