Insurance Follow UP Representative

Follow-Up Representative, Transplant ClaimsThe Follow-Up Representative, Transplant Claims is responsible for managing denied and rejected transplant-related claims to ensure accurate reimbursement and timely resolution. This individual will investigate claim denials, identify root causes, and work directly with payers, transplant coordinators, and internal revenue cycle teams to secure payment. The representative will maintain detailed documentation, submit appeals when appropriate, and monitor accounts through resolution. Success in this role requires strong knowledge of transplant billing regulations, payer requirements, and denial management best practices.