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

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.

Ready to take up a new career challenge? Submit your CV now and maximize the perks of joining our people-first company!

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.