Insurance Follow Up Representative

Company: Kforce Finance and Accounting ( Learn More )

General Information
US-WI-Menomonee Falls
N/A
Not Specified
Contractor
Not Specified
Not Specified
False
False
Job Description Responsibilities: Kforce is currently recruiting for a temporary Insurance Follow-up Rep for a client in Menomonee Falls, Wisconsin.As an Insurance Follow-up Representative, you will be responsible for the following:
  • Answer patient calls; research and respond to patient concerns within 24 working hours
  • Maintain knowledge of complex reimbursement methodologies in Managed Care contracts including DRG, per diem, per visit, fee schedule, and surgical group methodologies
  • Apply knowledge for accurate resolution of claims within contract terms
  • Use knowledge of hospital policy, department procedures, Wisconsin Uniform Billing Regulations (UB04 Manual), HMO / PPO agreements, and other contractual arrangements to maintain accounts receivable; manage commercial Payors; and manage appeals
  • Kforce Inc. (Nasdaq:KFRC) is a professional staffing and solutions firm providing flexible and permanent staffing solutions in the skill areas of technology, finance & accounting, clinical research and healthcare. Backed by approximately our associates and consultants on assignment, Kforce is committed to "Great People = Great Results" for our valued clients and candidates. Kforce operates with 65 offices located throughout the United States and two offices in the Philippines.Job Ref#: 2312~EQG~1206167T1~99
    Job RequirementsThis position requires a High School Diploma or equivalent education with two years of business office experience in billing, customer service, or collections in a healthcare environment. Experience with MS Office is also required.