Remote Medical Insurance Follow Up Rep

Job Description

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.

• 100% Remote

• Flexible Schedule

• Health, Dental, Vision, and Life Insurance

• PTO, Paid Sick Leave, and Paid Holidays

• Career Growth Opportunities

• 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