Special Accounts Representative II - Insurance Follow UP - Full Time

Watson ClinicLakeland, FL

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Overview

Schedule

Full-time

Education

Medical Coding (CCA, CCS, CCS-P, CPC)

Career level

Senior-level

Benefits

Health Insurance

Career Development

Job Description

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Job Type

Full-time

Description

Essential Functions

Follows up on open claims in accordance with established guidelines. Reviews claims for completeness and compliance with billing guidelines.
Works to resolution disputes of third-party denials. Contests charges that are not paid or underpaid with the carrier. Accesses available third party and governmental on-line services. Documents all actions within the system.
Possesses a comprehensive understanding of Clinic contracts, carrier specific, State or Federal governmental, HCFA, or CPT billing and reimbursement guidelines. Reviews bulletins, updates, etc., and maintains as reference/ resource material.
Possesses a comprehensive understanding of how to enter insurance information into the billing system. Remain current on new FSC's that are created and understand how they are used. Reviews and edits registration information according to clinic policy.
Cross train in all areas within the Insurance Department. Assist Supervisor in the education of new employees, the monitoring of staff and workflow in all areas of claims processing and payment posting within the Insurance Department.
Accesses available third-party and government on-line services. Accesses appropriate websites to obtain current carrier guidelines, verify eligibility and re-files claims if necessary.

Requirements

Required Education and Experience: High School graduate or equivalent. 2-4 years in a medical business office or related field. Experience with the claims adjudication process for multiple governmental agencies and private insurance carriers. Basic medical terminology. Current CPT and ICD-10 coding experience.

Additional Eligibility Qualifications: Ability to assist new hires and others in detailed training processes. An aptitude to retain detailed information. Ability to be multi-tasked oriented, to prioritize and to produce an acceptable volume of work. Excellent organizational and problem-solving skills. Excellent communication skills, oral and written. Basic knowledge of Windows-base computer applications. Accurate typing rate of 40 wpm. Ability to operate the following equipment: computer, copier, fax, web based payer sites, and 10-key calculator.

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FAQs About Special Accounts Representative II - Insurance Follow UP - Full Time Jobs at Watson Clinic

What is the work location for this position at Watson Clinic?

This job at Watson Clinic is located in Lakeland, FL, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.

What pay range can candidates expect for this role at Watson Clinic?

Employer has not shared pay details for this role.

What employment applies to this position at Watson Clinic?

Watson Clinic lists this role as a Full-time position.

What experience level is required for this role at Watson Clinic?

Watson Clinic is looking for a candidate with "Senior-level" experience level.

What education level is required for this job?

The education requirement for this position is Medical Coding (CCA, CCS, CCS-P, CPC). Candidates with relevant qualifications or equivalent experience may also be considered.

What benefits are offered by Watson Clinic for this role?

Watson Clinic offers following benefits: Health Insurance and Career Development for this position. Actual benefits may vary depending on the employer's policies and employment terms.

What is the process to apply for this position at Watson Clinic?

You can apply for this role at Watson Clinic either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.