Benefits:

401(k) matching

Bonus based on performance

Dental insurance

Health insurance

Opportunity for advancement

Paid time off

Training & development

Vision insurance

RSI. is looking for enthusiastic, sharp and committed individuals to join our team as a Remote Epic Physician Billing Insurance Follow Up Representative.

As an Epic PB Insurance Follow-Up Representative, you will be a crucial member of our healthcare revenue cycle team, specializing in professional billing. Your primary responsibility will be to manage and resolve insurance-related issues, including denials, rejections, and underpayments. Utilizing your expertise in the Epic PB module, you will collaborate with internal and external stakeholders to optimize reimbursement and ensure a streamlined revenue cycle.

JOB RESPONSIBILITIES:

Insurance Follow-Up:

Investigate and resolve insurance claim denials, rejections, and underpayments promptly.

Utilize the Epic PB module to track and manage outstanding insurance claims.

Epic System Expertise:

Demonstrate proficiency in using the Epic PB module for insurance follow-up activities.

Collaborate with IT and Epic analysts to stay updated on system functionalities and enhancements.

Claims Resolution:

Work closely with payers to identify and address issues causing claim denials or delays in payment.

Implement strategies to maximize reimbursement and minimize outstanding accounts receivable.

Communication:

Communicate effectively with insurance companies to clarify billing issues, appeal denials, and negotiate favorable terms.

Collaborate with internal departments, including billing and coding, to resolve complex billing matters.

Documentation:

Maintain accurate and detailed documentation of all insurance follow-up activities.

Ensure compliance with documentation standards and procedures.

Performance Metrics:

Monitor and report on key performance indicators related to insurance follow-up activities.

Contribute to the achievement of departmental goals and targets.

Training and Collaboration:

Participate in ongoing training to stay current on insurance industry changes and best practices.

Collaborate with colleagues to share insights, best practices, and contribute to a collaborative team environment.

Education and Experience:

High school diploma or equivalent; additional education in healthcare administration or a related field is a plus.

Proven experience in insurance follow-up within a healthcare setting.

Proficiency in using the Epic PB module for insurance-related activities.

Strong understanding of insurance reimbursement processes and payer requirements.

Detail-oriented with a focus on accuracy in claims resolution and follow-up activities.

Effective communication and interpersonal skills.

Physical Requirements:

Prolonged periods sitting at a desk and working on a computer.

Must be able to lift up to 15 pounds at times.

This is a remote position.