Experienced Health Insurance Claim Follow Up Rep
Posted 2025-04-06Sunbelt Health Partners is seeking an experienced HEALTH INSURANCE CLAIMS FOLLOW-UP AND DENIALS/APPEALS REP with experience in Revenue Cycle Management.
The daily duties require an advanced understanding of appropriate follow up (appeals vs claim), with payers policies and procedures and timely filing guidelines.
Candidates must have experience in handling Hospital Insurance Claims and worked with Denials/Appeals.
Attention to detail and investigational skills are a must. The ideal candidates will be good communicators, excellent at documentation, organized, adaptable, results oriented, self-motivated, energetic, flexible, and demonstrate the ability to both multi-task and prioritize.
This role is not fit for an Insurance Agent or those with only Physician Office Billing/Coding experience.
Experience and Skills:
 Five years (5) healthcare experience dealing with Hospital Claims (required)
 Two years (2) denials and/or appeals experience dealing with Hospital Claims (required)
 One year (1) billing experience dealing with Hospital Claims (preferred)
 Experience with EPIC, Cerner, and/or other major patient accounting systems (a plus)
 Demonstrate knowledge of general healthcare related office terminology
 Strong multi-tasking skills
 You must be proficient in Microsoft programs including, Outlook, Word, and Excel
 Excellent oral and written communication skills
Job Type: Full-time
Pay: $23.00 - $28.00 per hour
Expected hours: 40 per week
Benefits:
 401(k)
 401(k) matching
 Dental insurance
 Health insurance
 Life insurance
 Paid time off
 Vision insurance
Schedule:
 8 hour shift
Supplemental Pay:
 Bonus opportunities
Application Question(s):
 What is your State of residency? (REQUIRED)
Experience:
 Hospital Insurance Claim Billing: 1 year (Preferred)
 Hospital Claim Follow Up: 5 years (Required)
 Hospital Claim Denials or Appeals: 2 years (Required)
 EPIC, Cerner, or other major patient accounting systems: 2 years (Required)
Work Location: Remote
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