Lehigh Valley Health Network Insurance Follow-up Rep in Allentown, Pennsylvania

Job Summary: Performs Insurance Follow Up in the Patient Financial Services Department. Follow Up on accounts that have been billed with no payment and no open denial records on the account. Follow up on all denial accounts and find resolution to issue to obtain reimbursement. Coordinate collections procedures, maintains contact with third party representatives, and resolves patient billing issues. Identify opportunities to reduce A/R and improve financial performance. Need to have excellent accounting skills to monitor and change account adjustments as needed. Thorough knowledge of payor reimbursements and fee schedules for the payors. Ability to complete and answer correspondence to payor and patients.

Minimum Requirements: High School Diploma/GED

Basic PC Applications, prior healthcare experience in an office setting. Medical terminology. Knowledge of Professional or Facility Billing Practices

Microsoft Excel intermediate skills required. Knowledge of insurance contracts, regulations, and interpersonal and problem-solving skills. Knowledge of utilizing resources available. Strong Analytical, mathematical and organizational skills.

Preferred Qualifications: Preferred medical billing certification and or Certified Revenue Cylce Systems for Institutions.

Three to five years of facility billing and or collections for all major third party payors. Exposure medical coding.

Licensure and Certifications: