Medical Insurance Follow-Up Representative

gobravvo; Dallas (TX); Remote; USD 42,000 - 62,000; Full time

Job summary

gobravvo is seeking a Medical Insurance Follow-Up Representative to manage a diverse portfolio of insurance claims for hospital and physician billing. You will investigate denials, rebill, and appeal as needed while collaborating with payers and internal teams in a remote, full-time setting.

Ideal candidates have healthcare billing experience, familiarity with UB-04/HCFA 1500, and proficiency with systems like Epic, Cerner, and Meditech.

Qualifications

• 1-2 years of healthcare revenue cycle or medical billing experience.
• Experience with hospital and/or physician billing required.
• Strong knowledge of insurance denials, follow-up procedures, UB-04 and HCFA 1500 claims.
• Familiarity with systems such as Epic, Cerner, Meditech, McKesson, Allscripts, and Soarian.

Responsibilities

• Perform second-tier insurance account follow-up on outstanding A/R balances.
• Resolve denied, underpaid, and unresolved insurance claims.
• Remediate aged accounts and address payer issues.
• Conduct detailed investigation of high-dollar accounts.
• Review UB-04 and HCFA 1500 claims for billing accuracy.
• Investigate eligibility discrepancies, coding issues, and reimbursement variances.
• Communicate professionally with insurance payers, clients, and internal stakeholders.
• Identify payer trends and workflow barriers.
• Submit corrected claims, rebills, secondary billing, and appeals as appropriate.
• Document all account activity and correspondence thoroughly.
• Escalate payer errors for reprocessing when necessary.
• Work efficiently with both commercial and government payers.
• Maintain established productivity and quality standards.

Skills

Healthcare revenue cycle

Medical billing

Insurance denials

UB-04 claims

HCFA 1500

Epic

Cerner

Meditech

McKesson

Allscripts

Soarian

Microsoft Office

Education

High school diploma or equivalent

Associate degree preferred

Bachelor’s degree preferred

Tools

Epic

Cerner

Meditech

McKesson

Allscripts

Soarian

Microsoft Office

Job description

The role of a Medical Insurance Follow-Up Representative is an essential part of the healthcare revenue cycle management process. As a Medical Insurance Follow-Up Representative, you play a crucial role in ensuring timely and accurate resolution of outstanding insurance claims, focusing on back-end accounts receivable (A/R) follow-up, denial resolution, and remediation of aged accounts for both hospital and physician billing accounts. This position offers a dynamic, fast-paced work environment where your analytical skills and attention to detail directly contribute to the financial health of healthcare organizations.

Medical Insurance Follow-Up Representatives work collaboratively with providers, hospital organizations, and internal teams to deliver comprehensive accounts receivable support services. The primary goal is to resolve unpaid claims and denials by conducting in-depth investigations, communicating with payers, and applying industry knowledge to facilitate the reimbursement process. This full-time position supports ongoing professional growth and provides the chance to develop a robust understanding of the healthcare revenue cycle.

In this Medical Insurance Follow-Up Representative opportunity, you will be responsible for managing a diverse portfolio of claims, including commercial and government payers. The ideal candidate has a strong background in healthcare billing and insurance follow-up, a keen understanding of claims processing (including UB-04 and HCFA 1500 forms), and the ability to utilize multiple systems such as Epic, Cerner, Meditech, McKesson, Allscripts, and Soarian. Proficiency in Microsoft Office and internet-based applications is essential, as is the ability to multitask and maintain high productivity and quality standards in a remote work environment.

Medical Insurance Follow-Up Representatives are valued for their problem-solving abilities, effective communication skills, and commitment to accuracy and compliance. In this role, you will regularly interact with insurance payers, clients, and colleagues to resolve discrepancies, submit corrected claims, and elevate payer errors for reprocessing when necessary. Thorough documentation of account activity and correspondence is required to ensure compliance and facilitate efficient workflow.

Working as a Medical Insurance Follow-Up Representative offers numerous benefits, including a supportive team environment, opportunities for career advancement, and a comprehensive benefits package. The company is dedicated to fostering an inclusive and equitable workplace where all employees are valued for their contributions. If you are passionate about making a difference in healthcare revenue cycle management and are looking for a role that offers both challenge and reward, this Medical Insurance Follow-Up Representative position is an excellent fit.

Medical Insurance Follow-Up Representative - Summary

• Key member of the healthcare revenue cycle management team
• Responsible for A/R follow-up, denial resolution, and aged account remediation
• Works with hospital and physician billing accounts
• Collaborates with healthcare providers, payers, and internal teams
• Remote, full-time position with opportunities for growth

Duties & Responsibilities

• Perform second-tier insurance account follow-up on outstanding A/R balances
• Resolve denied, underpaid, and unresolved insurance claims
• Remediate aged accounts and address payer issues
• Conduct detailed investigation of high-dollar accounts
• Review UB-04 and HCFA 1500 claims for billing accuracy
• Investigate eligibility discrepancies, coding issues, and reimbursement variances
• Communicate professionally with insurance payers, clients, and internal stakeholders
• Identify payer trends and workflow barriers
• Submit corrected claims, rebills, secondary billing, and appeals as appropriate
• Document all account activity and correspondence thoroughly
• Escalate payer errors for reprocessing when necessary
• Work efficiently with both commercial and government payers
• Maintain established productivity and quality standards

Salary & Benefits

• Competitive salary commensurate with experience
• Comprehensive benefits including health, dental, vision, and life insurance
• PTO, paid sick leave, and paid holidays
• Opportunities for career advancement and professional development
• Remote work environment with flexible scheduling

Qualifications & Requirements

• 1-2 years of healthcare revenue cycle or medical billing experience
• Experience with hospital and/or physician billing required
• Strong knowledge of insurance denials, follow-up procedures, UB-04 and HCFA 1500 claims
• Familiarity with systems such as Epic, Cerner, Meditech, McKesson, Allscripts, and Soarian
• Proficiency with Microsoft Office and internet-based applications
• Demonstrated ability to multitask across applications and systems
• High school diploma or equivalent required; associate's or bachelor's degree preferred
• Ability to sit for extended periods, frequent use of hands/fingers for computer work
• Ability to communicate via phone and computer; occasionally lift up to 15 pounds

Ideal Candidate Snapshot

• Analytical and detail-oriented with strong problem-solving skills
• Experienced in healthcare billing and insurance follow up
• Effective communicator able to interact with payers and team members
• Comfortable working in a fast-paced, remote environment
• Organized, self-motivated, and able to manage multiple tasks simultaneously

Other Relevant Information

• Join a mission-driven organization dedicated to supporting healthcare providers and improving financial outcomes
• Work remotely as part of a collaborative, supportive team
• Benefit from structured training and ongoing learning opportunities
• Inclusive, equitable workplace committed to diversity and professional growth