Client Insurance Rep.- Charlotte NC in Charlotte, NC at Parallon

Date Posted: 8/28/2018

Job Snapshot

Job Description

Client Insurance Representative

GENERAL SUMMARY OF DUTIES – Process medical insurance accounts to address claim issues and to affect payment and/or bringing them to resolution. Research claim status with carriers via various portals to reach resolution and payment of claims.


  •  Status account and document all work performed in the company and client computer systems.
  • Assess accounts to determine the next appropriate course of action in line with company policies and   procedures.
  • Place outbound calls to insurance companies, guarantors, patients, doctors’ offices and/or facilities and handle incoming calls as necessary utilizing proper customer service protocol.
  • Process related correspondence from insurance companies and perform pertinent follow-up.
  • Reconcile balances and payments between insurance companies and clients computer systems.
  • Escalate issues to Team Lead or Manager as necessary.
  • Duties may vary by location
  • Adheres to and supports organizational IT&S standards, policies, and procedures.
  • Adheres to Code of Conduct.
  • Performs other duties as assigned.

Job Requirements


•         Medical and insurance terminology (such as procedure codes, diagnoses, and patient liability), and full understanding of hospital/physician billing.

•         Ability to read and understand EOB statements.

•         Understanding of co-pay, co-insurance, primary and secondary payer in regards to medical insurance coverage, paper and electronic claims processing

•         Experience on resume with the following systems helpful, but not required:

•         GE practice management systems IDX, NextGen, Centricity, TES/ETM webflow experience; E-Clinical; Next Gen PM system;  EPIC, Tiger and Emdeon

•         Experience with anesthesiology helpful, but not required.


•        High school diploma or equivalent

•         Minimum 1-2 years’ experience in Medical Billing/Follow-up for a facility, medical clinic, or doctor’s office and experience with Microsoft Office suite and standard office equipment .

PHYSICAL DEMANDS/WORKING CONDITIONS – Requires prolonged sitting, some bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 20 pounds occasionally.  Work is performed in an office environment. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.



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