Job Description:
Medical Insurance Follow-Up Representative 100% Remote$1822/hour | Full-Time | Permanent Opportunity We're growing and looking for experienced Medical Insurance Follow-Up Representatives to join our fully remote team! In this role, you will focus on back-end A/R follow-up, denial resolution, and aged account remediation for Hospital and/or Physician Billing accounts. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services. If you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you.
Why Join Us?- 100% Remote
- Flexible Schedule
- Health, Dental, Vision, and Life InsurancePTO, Paid Sick Leave, and Paid Holidays
- Career Growth Opportunities
- What Youll Do:
- Perform second-tier insurance account follow-up on outstanding A/R balances
- Resolve denied, underpaid, and unresolved insurance claims
- Resolve aged accounts and payer issues
- Work high-dollar accounts and conduct detailed account research
- Review UB-04 and/or HCFA 1500 claims for billing accuracy
- Investigate eligibility discrepancies, coding issues, payer denials, and reimbursement variances
- Communicate professionally with insurance payers, clients, and internal teams
- Identify payer trends, workflow issues, and barriers to resolution
- Submit corrected claims, rebills, secondary billing, and appeals as needed
- Document account activity and correspondence thoroughly and accurately
- Escalate payer errors appropriately for reprocessing
- Work with commercial and government payers
- Maintain productivity and quality standards
Experience & Education:- 1-2 years of Healthcare Revenue Cycle experience required
- Experience with Hospital Billing and/or Physician Billing required
- Strong knowledge of denials, insurance follow-up, UB-04 and/or HCFA 1500 claims
Experience using systems like Epic, Cerner, Meditech, McKesson, Allscripts, Soarian, etc.
Proficiency in Microsoft Office and other internet-based systems
Strong ability to multitask across multiple applications and systems
High School Diploma or equivalent required; Associate's or Bachelor's Degree preferred
Physical Requirements:- Ability to sit for extended periods of time
- Frequent use of hands and fingers for typing and computer work
- Ability to communicate via phone and computer
- Occasionally lift up to 15 pounds
