Follow Up Representative

Jobvite, Inc.; United States; On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Medical plan

Vision plan

Dental plan

Paid time off

Student loan repayment

Professional development

Job summary

Physical Rehabilitation Network (PRN) and its Family of Brands is seeking to recruit a Follow Up Representative to handle Payor follow up in a remote setting. The role requires independence, extreme attention to detail, and the ability to manage a full range of AR activities.

Responsibilities include managing primary and secondary claims, responding to inquiries, resolving denials, and ensuring timely payments.

Qualifications

• High School/G.E.D. required.
• 1 year medical receivable collections experience preferred.
• Understanding of medical claims processing.
• Experience with insurance systems.
• Knowledge of insurance rules and regulations related to billing and collections.
• Ability to understand claim denials/rejections.
• Ability to read an Explanation of Benefits.
• Knowledge of medical terminology.

Responsibilities

• Manage primary and secondary claims.
• Respond promptly to billing inquiries from patients, insurance companies, and departments.
• Work with clinics to identify and resolve issues regarding outstanding account balances.
• Resolve denials and submit appeals.
• Utilize the most efficient resources to secure timely payment of open claims.
• Research assigned correspondence and takes necessary action to resolve requests.
• Ensure daily accomplishments contribute toward company goals for A/r.
• Resolve accounts in follow-up queues.

Skills

Medical billing

Claims processing

Understanding of medical claims

Insurance systems

Reading EOB

Medical terminology

Education

High School diploma or GED

Job description

Physical Rehabilitation Network (PRN) and its Family of Brands is seeking to recruit & hire a Follow Up Representative.

About Us

PRN brings together some of the most trusted PT brands across the West and Central U.S. Whether in the clinic or behind the scenes, we’re all about personalized care, smart clinical insight, and making every patient feel supported from start to finish.

About the Role

If you LOVE working in the fast-paced environment of Revenue Cycle or Medical Billing in the comfort of your own home, then this might be an exciting opportunity for you. We are seeking an independent and extremely detail-oriented Follow Up Representative. The position is responsible for the full range of Payor follow up with different types of Payors.

Duties & Responsibilities

• Manage primary and secondary claims
• Respond promptly to billing inquiries from patients, insurance companies, and departments
• Work with clinics to identify and resolve issues regarding outstanding account balances
• Resolve denials and submit appeals
• Utilize the most efficient resources to secure timely payment of open claims
• Research assigned correspondence and takes necessary action to resolve requests
• Ensure daily accomplishments contribute toward company goals for A/r
• Resolve accounts in follow-up queues

Skills & Qualifications

• High School/G.E.D. requirement or equivalent combination of education and experience required
• 1-year prior medical receivable collections experience preferred
• Understanding of medical claims processing
• Experience with insurance systems
• Knowledge of insurance including State and Federal rules and regulations as they relate to billing and collections
• Ability to understand claim denials/rejections
• Ability to read an Explanation of Benefits
• Knowledge of medical terminology

We offer a comprehensive and competitive compensation package designed to support both personal and professional well being. Team members enjoy full scale benefits—including robust Medical, Vision, and Dental plans—along with paid time off, clinical incentive opportunities, and student loan repayment options. We are committed to your continued growth and success, providing professional development resources and ongoing clinical education support.

At PRN, you’ll be part of a supportive, mission driven environment dedicated to excellence in patient care and the success of every member of our team.

Note: This job description is a general outline of responsibilities and requirements. Specific duties may vary based on the needs of management.