Insurance Follow-up Representative
Posted 2025-04-05Our rapidly growing client is hiring several Insurance Follow-up Representatives. These positions are responsible for reviewing data to ensure the validity of insurance information for claims processing. You will also answer inquiries involving individual accounts and research problems to ensure accuracy for payment. If you are enthusiastic, sharp, and committed we would love for you to join our team. Must be able to work remotely Monday-Friday 8am-5pm.EST
JOB RESPONSIBILITIES:  Follow-Up with Insurance Carriers to determine reason for claims denial and work to resolve claim for payment.  Process claims, payments, adjustments, refunds, denials and unpaid insurance balances  Assess and correct, when needed, demographic, insurance and financial information  Provide accurate account maintenance and documentation  Uses and demonstrates understanding of the applicable computer systems, including system reports and security procedures  Serve as a liaison with insurance companies, third party payors, and administrative personnel  Analyze EOBÂs and account documentation to identify, reconcile and resolve patterns resulting in erroneous or no reimbursement  Review payer contracts and ensure accounts are resolved consistent with terms  Ability to resolve insurance denials and file appeals with government and commercial carriers  Accurately and efficiently processes the account including transaction recording and other functions.  Stays up to date on contracts, regulations, procedures and other changes affecting the department.  Reports unusual accounts, account problems and workflow issues promptly to manager.  Demonstrates positive and professional communication skills.  Performs other work duties as assigned
Key Competencies:
 Results-Oriented
 Strong written and verbal communication skills
 Ability to handle and maintain confidential information
 Strong work ethic
Job Requirements:  High School Diploma required  3-5 years of insurance follow-up experience in a hospital or physicianÂs office setting is preferred  Thorough understanding of CPT, DRG, HCPC, Procedure and Revenue codes, modifiers and their effect on reimbursement  Experience with filing UB-04 and HCFA 1500 claim form required  Background check and random drug screens
Physical Requirements: Â Prolonged periods sitting at a desk and working on a computer. Â Must be able to lift up to 15 pounds at times.
#staffing
Job Type: Full-time
Pay: $16.00 - $20.00 per hour
Expected hours: 40 per week
Benefits:
 401(k)
 401(k) matching
 Dental insurance
 Health insurance
 Paid time off
 Vision insurance
Schedule:
 8 hour shift
 Day shift
Experience:
 Medical Insurance Claims: 3 years (Required)
 Epic: 1 year (Required)
 High Volume Call Center: 1 year (Required)
 Medical office: 1 year (Required)
Work Location: Remote
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