Remote Medical Insurance Follow Up Rep

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 Insurance

  • PTO, 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


Remote

Skills:
Accounts Receivable, Billing, Centers for Medicare and Medicaid Services (CMS), Communication Skills, Customer Support/Service, Customer/Client Research, Government, Health Insurance, Healthcare, Healthcare Providers, Hospital, Insurance, Insurance Claims, Life Insurance, Medical Billing, Problem Solving Skills, Quality Management, Quality Metrics, Research Skills, Trend Analysis, Typing, Vision Plan


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