Claims Follow-Up Representative
Virtual Vocations Inc
To ensure timely reimbursement for a large multi-specialty, multi-state physician practice, the full-time Claims Follow-Up Representative will manage outstanding claims and correct denied claims under the supervision of the PFS Supervisor of Claims Follow-up and Denials, with the option for remote, hybrid, or in-office work arrangements. Key responsibilities: Review and correct denied claims, sending appeals to third-party payers to secure reimbursement Resolve outstanding, underpaid, and overpaid claims while identifying denial trends and reporting to the supervisor Maintain compliance with HIPAA guidelines and collaborate with internal departments to gather necessary claim information Required qualifications: High school graduate or equivalent Knowledge of third-party billing, including 1500 claim forms, CPT, and ICD-10 One to three years of relevant experience in insurance follow-up for professional/hospital billing Experience with Epic preferred Technical proficiency in Microsoft Excel, Outlook, and Teams applications
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