Medical Insurance Follow-Up Representative

TRC Talent Solutions; Peoria (IL); A distancia; USD 28.000 - 41.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Fully remote work

Flexible scheduling

Health insurance

Paid time off

Paid holidays

Descripción de la vacante

gobravvo is hiring a Medical Insurance Follow-Up Representative to manage insurance A/R follow-up, denial resolution, and payment posting for hospital and physician billing, all from a remote home office.

You will collaborate with healthcare providers, payers, and internal teams to remediate aged accounts, review UB-04 and HCFA 1500, and file appeals when necessary. The role emphasizes accuracy, timely communication, and adherence to productivity standards.

Formación

• 1–2 years of healthcare revenue cycle experience required.
• Solid experience in hospital and/or physician billing.
• Strong knowledge of denials follow-up and UB-04/HCFA 1500.
• Experience with major ERP and billing software systems.

Responsabilidades

• Manage aged accounts receivable and perform detailed follow-ups.
• Resolve denied and underpaid claims for hospital and physician billing.
• Investigate discrepancies with payers and escalate as needed.
• Document all activity accurately and maintain productivity standards.

Conocimientos

Healthcare revenue cycle

Insurance denial management

Account follow-up

Claims processing

Educación

High school diploma or equivalent

Associate degree preferred

Bachelor's degree preferred

Herramientas

Epic

Cerner

Meditech

McKesson

Allscripts

Soarian

Descripción del empleo

The role of a Medical Insurance Follow-Up Representative, also commonly searched as Medical Insurance AR Specialist or Medical Billing Follow-Up Specialist, is essential for healthcare organizations aiming to optimize revenue cycle management and ensure timely payment of claims. As a Medical Insurance Follow-Up Representative, you will be fully immersed in the world of accounts receivable (A/R), insurance denials, and claim resolution, working to secure the financial health of hospitals and physician groups. This position is available as a full-time, remote opportunity, allowing you to contribute to a dynamic team from the convenience of your own workspace.

As a Medical Insurance Follow-Up Representative, you will play a vital role in the back-end processes of healthcare billing. Your main responsibilities will include managing aged accounts, performing detailed account follow-ups, and resolving denied and underpaid claims across both hospital and physician billing platforms. By investigating discrepancies and working directly with commercial and government insurance payers, you become an integral part of a team that directly influences a healthcare provider’s ability to deliver quality patient care by maximizing revenue collection.

Joining our team as a Medical Insurance Follow-Up Representative offers a range of professional growth opportunities within the healthcare revenue cycle sector. You will contribute to high-impact projects, collaborate with cross-functional teams, and develop your skills in claims analysis, payer communication, and account resolution. Our organization is committed to providing a supportive work environment, competitive benefits, and ongoing learning opportunities to help you advance your career.

As a fully remote, full-time Medical Insurance Follow-Up Representative, you will enjoy the benefits of flexible scheduling and the support of a dedicated team, while working from your preferred location. Our comprehensive benefits package includes health, dental, vision, and life insurance, as well as paid time off, sick leave, and holidays. Additionally, you will have access to career advancement and training opportunities, allowing you to continuously develop your skills in medical billing and insurance follow-up.

Medical Insurance Follow-Up Representative - Summary

• Remote, full-time position focusing on insurance A/R follow-up and denial resolution
• Collaborate with healthcare providers and hospital organizations to support revenue cycle functions
• Opportunity for career advancement within a growing team of revenue cycle professionals

Duties & Responsibilities

• Perform extensive insurance account follow-up on outstanding accounts receivable balances
• Resolve denied, underpaid, and unresolved insurance claims for hospital and physician billing accounts
• Remediate aged accounts and address payer-specific issues
• Conduct detailed account research, especially for high-dollar accounts
• Review UB-04 and HCFA 1500 claims for accuracy and compliance
• Investigate eligibility discrepancies, coding challenges, and reimbursement variances
• Professionally communicate with insurance payers, internal teams, and clients
• Identify trends, workflow issues, and barriers to payment resolution
• Submit corrected claims, process rebills, secondary billing, and file appeals as required
• Document all account activity and correspondence accurately
• Escalate payer errors for reprocessing when necessary
• Work with both commercial and government payers
• Maintain established productivity and quality standards

Salary & Benefits

• Competitive hourly compensation
• Health, dental, vision, and life insurance coverage
• Paid time off, paid sick leave, and paid holidays
• Opportunities for career growth and advancement
• Fully remote work environment with flexible scheduling

Qualifications & Requirements

• 1-2 years of healthcare revenue cycle experience required
• Solid experience in hospital billing and/or physician billing
• Strong knowledge of insurance denials, follow-up procedures, and claims (UB-04 and HCFA 1500)
• Familiarity with revenue cycle management systems (e.g., Epic, Cerner, Meditech, McKesson, Allscripts, Soarian, etc.)
• Proficiency in Microsoft Office and web-based applications
• High school diploma or equivalent required; associate’s or bachelor’s degree preferred
• Ability to multitask and manage multiple systems and applications simultaneously

Ideal Candidate Snapshot

• Experienced in healthcare revenue cycle management and insurance claim follow-up
• Detail-oriented with strong analytical and problem-solving skills
• Excellent written and verbal communication abilities
• Comfortable working independently in a remote environment
• Adaptable to dynamic, fast-paced work settings
• Proactive in identifying and resolving issues affecting account resolution

Other Relevant Information

• Physical requirements include the ability to sit for extended periods, frequent use of hands and fingers for typing, regular communication via phone and computer, and occasionally lifting up to 15 pounds
• Our company is committed to providing equal employment opportunities and fostering a diverse, inclusive work environment