BPO - Healthcare Insurance Follow-up Representative (Onsite Setup) (Guadalajara)

BPO - Healthcare Insurance Follow-up Representative (Onsite Setup) (Guadalajara)

01 nov
|
Unity Communications
|
Guadalajara

01 nov

Unity Communications

Guadalajara

Do you have a knack for navigating the complexities of insurance claims? Are you an organized and detail-oriented multitasker? A tech-savvy capable of handling multiple financial databases with high accuracy? Familiar with the ins and outs of insurance systems, policies, and procedures?

Yes? Then, be our newest Insurance Follow-up Representative! You will help address account balances and correspondence from insurance carriers. You will also be the face of our streamlined customer service.

How You Spend Your Eight Hours

Reconcile FACS balance to the client system

Ensure proper crediting in FACS for payments posted

Use websites and other online resources to obtain the status of payment or denial from the insurance carrier

When online resources are not available or do not provide the necessary information, call the insurance carrier to inquire about the status of payment or denial

Input in FACS the outcome of the status check and decide the next step on the account based on outlined department and client-specific procedures

Review correspondence, note accounts, and follow up as needed

Verify that correspondence is sent to be scanned on the accounts for future reference

Tie or untie accounts from the route to ensure they follow proper workflow

Use appropriate work queues and reports to prioritize work efforts, as directed by the Insurance Follow-up Manager

Maintain quality customer service





Develop and maintain professional relationships with insurance company representatives

Maintain confidentiality at all times by adhering to the Health Insurance Portability and Accountability Act of 1996 (HIPAA)

Support the mission and goals of our clients and the company

What You Must Possess

Computer proficiency

Ability to learn multiple databases

Multitasking skills

Organizational skills, attention to detail, and flexibility

Ability to perform repeated tasks with a high level of accuracy

Compliance with company and client-specific procedures for insurance follow-ups

Working knowledge of HIPAA and Red Flag regulations

What You Shall Receive

Legally mandated benefits under Mexican labor law

Grocery vouchers (food allowance card)

A friendly and supportive work culture

Additional benefits and perks

What You Should Consider

Full-time position

Monday to Friday

On-site work setup

Why Join Our Company
You look for a company whose senior management listens to what you are and aren’t saying and whose managers and team leads you can genuinely connect with. According to Glassdoor, 99% of the current and previous employees recommend Unity Communications to their friends, and 100% approve of its executive management. Our company is a Certified Great Place To Work that values inclusion and diversity and spreads kindness and positivity.

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📌 BPO - Healthcare Insurance Follow-up Representative (Onsite Setup) (Guadalajara)
🏢 Unity Communications
📍 Guadalajara

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