Insurance Follow Up Rep - job 4 of 4

As an Insurance Follow Up Rep at CHI Memorial Mountain Management, you'll be responsible for researching and resolving unpaid insurance accounts, making corrections in the practice management system, and ensuring that reimbursements for FMG providers are accurately received. You will also document your findings, maintain confidentiality of medical records, and identify trends in denials to report to supervisory staff.

To qualify for the Insurance Follow Up Rep position at CHI Memorial Mountain Management, candidates must have a High School Diploma or GED equivalent, along with knowledge of the insurance follow-up process, general office principles, and basic medical terminology. Preferred qualifications include two years of relevant experience in revenue cycle or medical billing.

CHI Memorial Mountain Management offers a broad range of benefits to Insurance Follow Up Reps, including health, dental, and vision insurance, tuition assistance for career growth, a wellness program, and an Employee Assistance Program for personal support. Additionally, there are flexible spending accounts and matching retirement programs to help support work/life balance.

While prior experience is not strictly required, having two years of revenue cycle or medical billing experience is preferred for the Insurance Follow Up Rep role at CHI Memorial Mountain Management. This experience helps candidates demonstrate the required knowledge and abilities for the position, allowing them to effectively manage insurance follow-up tasks.

Essential skills for success as an Insurance Follow Up Rep at CHI Memorial Mountain Management include excellent customer service, attention to detail, strong analytical abilities, and the capability to maintain confidentiality of medical records. Familiarity with medical insurance payer contracts and regulations is also important.

To effectively answer this question, reflect on any prior roles where you managed insurance claims or worked in a related field. Share specific examples of how you handled unpaid accounts or interacted with insurance payers, emphasizing your attention to detail and problem-solving skills.

You can answer this by discussing the systems or protocols you followed in your previous positions to maintain accurate documentation. Mention any tools or checklists you used to minimize errors and ensure compliance with regulations.

Think of a specific scenario where you noticed a pattern in claim denials. Describe how you recorded and communicated this information to your supervisor, focusing on the outcome and any changes that resulted from your findings.

Discuss the importance of confidentiality and your experiences handling sensitive information. You can speak about any relevant policies or practices you adhered to, such as limited access to information and secure handling protocols.

Mention any resources you use, such as webinars, professional organizations, and regulatory bodies. Highlight your proactive approach to learning and adapting to changes in the insurance landscape.

Share your thoughts on the importance of communication, empathy, and problem-solving in customer service, particularly regarding handling inquiries from frustrated patients or payers. Provide examples of how you effectively navigated difficult interactions in your past roles.

Describe a structured approach to dealing with disagreements including staying calm, gathering all necessary documentation, and communicating with the payer respectfully and factually, aimed at finding a resolution.

You could discuss issues such as complex regulations, changes in payer policies, or increased scrutiny on billing practices. Provide a thoughtful perspective, showing your industry knowledge and ability to adapt.

Reflect on your genuine interest in the role and the organization. You could express admiration for CHI Memorial’s commitment to patient care, alignment with your professional values, and enthusiasm for working within a supportive team.

Highlight your commitment to regular updates, active listening, and fostering a positive environment for sharing information. Providing examples from your experience will strengthen your answer.