Job Details

The Insurance and Claims Representative is accountable for the billing and collections of Renown healthcare claims, ensuring timely and accurate claim submission, maximizing reimbursement for those services rendered in order to maintain a consistent cash flow. Nature and Scope: The Insurance and Claims Representative is responsible for: Accuracy and completeness of patient accounts for billing and follow-up of healthcare claims to ensure timely claim adjudication in accordance with Renown policies and healthcare payor rules and regulations. Review, evaluation and submission of additional documentation to payors that do not accept electronic claims or require special handling. Conducts prompt follow up with insurance companies by phone or reviewing online payor portals, performing necessary follow up action to obtain payment. Documenting the patient account and completing inquiries from patients, insurance companies, internal departments, attorneys and 3rd party payers in a timely manne...Claims Representative, Insurance, Claims, Representative, Healthcare