Payment Integrity Representative

HealthFund Solutions LLC • Orlando, FL

4h

About The Position

Reporting to our Payment Integrity Manager, the Payment Representative acts as a liaison between our patients and their insurance companies. Prior experience with insurance technology, medical background, and payment management of accounts.

Requirements

• High School Diploma required
• Three (3) to five (5) years of related experience in medical billing or accounting is preferred
• Organized
• Extreme Attention to Detail
• Process Initiative
• Ability to communicate effectively in speaking and writing
• Work effectively with individuals from diverse backgrounds
• Ability to establish and maintain effective working relationships
• Ability and desire to communicate effectively by telephone
• Perform basic operations in Microsoft Office Suite

Nice To Haves

• College Degree or some college preferred
• General Accounting experience is helpful
• Prior experience in medical insurance invoicing and payment management of accounts is helpful

Responsibilities

• Interact with Company departments and external vendors
• Send, receive, and review contracts with external vendors
• Update Company databases, with extreme attention to detail
• Work in compliance with banking portals
• Verify Insurance information on patient account for accuracy and contract compliance
• Assist in making patient insurance premiums payments
• Accurately record payments made in company database per outlined procedures
• Review exception reports
• Actively pursue refunds owed by insurance companies
• Maintains accurate and organized patient files (both paper and electronic versions)
• Other duties as assigned

Benefits

• Medical, Dental, and Vision Insurance
• Life Insurance
• Short-Term and Long-Term Disability
• Critical Illness & Accident Plans
• 401(k) with up to 4% employer match

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED