Insurance Follow Up Rep

CommonSpirit Health; Omaha (NE); On-site; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking an Insurance Follow Up Representative to manage and resolve outstanding insurance balances. This role involves direct communication with commercial and government payers, ensuring accurate payment processing and compliance with healthcare regulations. Candidates should possess strong knowledge of medical billing practices and demonstrate excellent communication skills. The company offers a supportive environment with a focus on work/life balance, including comprehensive health benefits, tuition assistance, and retirement plans. This is a fantastic opportunity for individuals looking to grow in the healthcare billing field.

Benefits

Health/Dental/Vision Insurance

Paid Time Off (PTO)

Tuition Assistance

Matching 401(k) and 457(b) Retirement Programs

Employee Assistance Program (EAP)

Wellness Programs

Qualifications

• Knowledge of healthcare policies and medical insurance.
• Ability to interpret insurance reimbursement terms.

Responsibilities

• Correspond with insurance payers to resolve outstanding balances.
• Document all actions in the billing system accurately.

Skills

Knowledge of healthcare policies

Knowledge of medical insurance

Proficiency with automated systems

Strong troubleshooting skills

Effective prioritization skills

Customer service skills

Education

High School Diploma or equivalent

Post-high school training in medical billing

Job description

Join to apply for the Insurance Follow Up Rep role at CommonSpirit Health

Overview

CHI Health strives to care for you the way you care for your patients. We understand you have personal responsibilities outside of your profession and also care about your well-being.

*With you in mind, we offer the following benefits to support your work/life balance:*

• Health/Dental/Vision Insurance
• Direct Primary Plan (No copay, no deductible, and access to CHI Health provider 24/7)
• Premium Access to our Family Care Program supporting your needs for childcare, pet care, and/or adult dependent care
• Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
• Employee Assistance Program (EAP) for you and your family
• Paid Time Off (PTO)
• Tuition Assistance for career growth and development
• Matching 401(k) and 457(b) Retirement Programs
• Adoption Assistance
• Wellness Programs
• Flexible spending accounts

Responsibilities

The Insurance Follow Up Rep is responsible for corresponding with both commercial and government health insurance payers to address and resolve outstanding insurance balances and non-coding denials. Activities include follow-up via phone, online, fax, and written correspondence, reviewing remittance advices, researching denial reasons, and resolving issues through appeals.

• Follow-up with insurance payers to research and resolve unpaid accounts; make necessary corrections in the system.
• Interpret and ensure correct payment from Explanation of Benefits (EOBs) and remittance advices.
• Communicate effectively to explain outstanding balances, denials, or underpayments.
• Resubmit claims when needed, via paper or electronic methods.
• Identify trends and issues, and train staff accordingly.
• Escalate complex issues appropriately.
• Organize accounts by denial type or payer for efficient resolution.
• Document all actions in the billing system accurately.
• Perform other duties as assigned.

Qualifications

Required Minimum Knowledge, Skills and Abilities

• Knowledge of healthcare policies, standards, and practices.
• Knowledge of medical insurance, codes, and payer contracts.
• Understanding of regulatory/reporting requirements.
• Proficiency with automated systems related to the function.
• Ability to interpret insurance reimbursement terms and remittance advice.
• Accurate data entry skills.
• Ability to stay updated on industry trends and regulations.
• Strong troubleshooting and communication skills.
• Ability to maintain confidentiality and demonstrate attention to detail.
• Effective prioritization and customer service skills.
• Proficiency in English communication.
• Ability to establish effective working relationships.

Preferred Qualifications

• High School Diploma or equivalent (preferred)
• Post-high school training in medical billing or related field (preferred)
• Two years revenue cycle or related experience (preferred)

Pay Range

$16.26 - $22.36 /hour