Insurance Representative, Healthcare Administration

Responsible for contacting third-party payers and patients to speed collection of accounts receivable. Demonstrate a dedication to process improvement initiatives that result in the achievement of best practice solutions committed to the optimization of net revenues.

Responds to patient inquiries regarding status of accounts. Follow-up on amounts due from third-party payers on a timely basis to ensure that payments are prompt and benefits are paid correctly. Patients are given prompt, courteous, correct responses to their questions. Inquiries that cannot be answered are referred to the proper person or department for response.

Follows up with patient and or department to ensure patient’s inquiries are resolved.

Three-year minimum experience in a healthcare related field preferred. Experience with personal computers, word processing, spreadsheets, graphics and database software applications is desired. Understanding of coding strategies, DRGs, DNV standards and HIPAA. Prior experience implementing and maintaining billing and collection system desired.

High school graduate or equivalent.

• Strong analytical and organization skills.
• Excellent interpersonal communication and negotiation skills.
• Proficient understanding of hospital bills and billing procedures.
• Ability to communicate and collaborate with all ancillary departments.
• Ability to utilize and understand computer technology.
• Understanding of complex insurance terms and payment methodologies.
• Sits for extended periods of time to enter data into the computer.
• Changes in position/posture is constant throughout the day and includes workstations at various heights.
• Ability to concentrate at computer or desk.
• Should be able to climb a ladder or step stool when placing supplies on storage shelves, etc.
• Should be able to reach in order to place supplies and equipment on storage shelves.
• Able to communicate verbally with patients, co-workers and visitors.
• Must also be able to use written communication effectively.