Medical Insurance Follow-Up Representative

gobravvo; Peoria (IL); Teletrabalho; USD 25 000 - 30 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health insurance

Dental insurance

Paid time off

Holiday pay

Resumo da oferta

TRC Talent Solutions is seeking a Medical Insurance Follow-Up Representative in Peoria, IL. The role focuses on insurance A/R follow-up, denial resolution, and remediation of aged hospital and physician billing accounts.

You will work with providers to secure timely reimbursements across payer types using Epic, Cerner, Meditech, and other systems. The position requires 1–2 years in healthcare revenue cycle, strong problem-solving, and multitasking in a fast-paced environment.

Qualificações

• 1–2 years of healthcare revenue cycle experience.
• Experience in hospital or physician billing.
• Familiarity with UB-04 and HCFA 1500 claims.
• Proficiency with EHR and billing systems listed above.

Responsabilidades

• Perform second-tier insurance A/R follow-up on outstanding balances.
• Resolve denied, underpaid, and unresolved insurance claims.
• Address aged accounts and payer issues with detailed research.
• Document activity and communicate with payers and internal teams.

Conhecimentos

Insurance follow-up

A/R management

Denial resolution

Microsoft Office

Communication

Multitasking

Formação académica

High school diploma or equivalent

Associates or Bachelor's degree preferred

Ferramentas

Epic

Cerner

Meditech

McKesson

Allscripts

Soarian

Descrição da oferta de emprego

# Medical Insurance Follow-Up Representative**Location:** Peoria, IL**Job Type:** Temp to Hire**Company:** TRC Talent Solutions**Salary:** $18.00 - $22.00 Per Hour**Category:** Financial Services## Job Description Apply NowThe Medical Insurance Follow-Up Representative (also known as Insurance A/R Specialist) plays a crucial role within healthcare revenue cycle operations. This full-time position is responsible for managing accounts receivable (A/R) processes, specifically focusing on insurance claims follow-up, denial resolution, and aged account remediation for hospital and physician billing accounts. As a Medical Insurance Follow-Up Representative, you will collaborate with healthcare providers and hospital organizations to ensure timely and accurate payment for medical services rendered. This role requires attention to detail, problem-solving skills, and the ability to work within multiple billing systems and payer platforms.Working as a Medical Insurance Follow-Up Representative, you will be responsible for handling back-end insurance processes that are vital to maintaining financial health for healthcare organizations. Your day will include researching and resolving insurance denials, unpaid claims, and discrepancies related to patient accounts. You will perform detailed account reviews, communicate with insurance payers, and document every step to ensure compliance and accuracy. This position is an excellent opportunity for individuals who thrive in a fast-paced environment and are passionate about supporting the financial operations of healthcare providers.As an integral member of the revenue cycle team, you will be expected to maintain high productivity and quality standards while identifying workflow issues and payer trends that may affect claim resolution. The Medical Insurance Follow-Up Representative must be comfortable using a variety of electronic health record (EHR) and billing systems such as Epic, Cerner, Meditech, McKesson, Allscripts, and Soarian. Your efforts directly impact an organization’s ability to deliver excellent patient care by securing timely reimbursements from both commercial and government payers.This role offers a dynamic work environment that values continuous improvement and professional growth. As a Medical Insurance Follow-Up Representative, you can expect opportunities for career advancement within the healthcare revenue cycle sector. Your contributions will support healthcare providers in delivering high-quality patient care, as financial stability is a key component of successful medical operations.Our organization is committed to diversity, inclusion, and equal opportunity employment. We encourage all qualified candidates with a background in healthcare revenue cycle management to apply. If you are motivated, detail-oriented, and ready to make an impact as a Medical Insurance Follow-Up Representative, click the application button to take the next step in your career.Medical Insurance Follow-Up Representative - Summary* Responsible for insurance A/R follow-up, denial resolution, and remediation of aged hospital and physician billing accounts* Works with healthcare providers and hospital organizations to secure timely insurance reimbursements* Utilizes various billing and EHR systems to research and resolve unpaid or denied claims* Maintains documentation and ensures compliance with payer requirementsDuties & Responsibilities* Perform second-tier insurance account follow-up on outstanding A/R balances* Resolve denied, underpaid, and unresolved insurance claims* Address aged accounts and payer issues through detailed account research* Review UB-04 and/or HCFA 1500 claims for billing accuracy* Investigate eligibility discrepancies, coding issues, payer denials, and reimbursement variances* Communicate professionally with insurance payers, clients, and internal teams* Identify payer trends, workflow issues, and barriers to resolution* Submit corrected claims, rebills, secondary billing, and appeals as needed* Document account activity and correspondence thoroughly and accurately* Escalate payer errors appropriately for reprocessing* Work with commercial and government payers* Maintain productivity and quality standards as established by the organizationSalary & Benefits* Competitive compensation package offered* Comprehensive health, dental, vision, and life insurance coverage* Paid time off, paid sick leave, and paid holidays* Opportunities for career growth and professional development within the healthcare revenue cycle fieldQualifications & Requirements* 1-2 years of healthcare revenue cycle experience required* Experience in hospital billing and/or physician billing required* Strong knowledge of denials, insurance follow-up, and claim forms (UB-04 and/or HCFA 1500)* Familiarity with EHR and billing systems such as Epic, Cerner, Meditech, McKesson, Allscripts, or Soarian* Proficiency in Microsoft Office and internet-based systems* Ability to multitask across multiple applications and systems* High school diploma or equivalent required; associate’s or bachelor’s degree preferredIdeal Candidate Snapshot* Detail-oriented and organized with strong analytical skills* Effective communicator, both verbally and in writing, with internal teams and external payers* Self-motivated and able to manage time efficiently in a remote environment* Demonstrates a proactive approach to problem-solving and process improvement* Comfortable working with both commercial and government insurance payers* Committed to delivering high-quality work and meeting productivity standardsOther Relevant Information* Physical requirements include the ability to sit for extended periods, frequent typing and computer usage, effective communication via phone and computer, and occasional lifting up to 15 pounds* This full-time role offers the flexibility of remote work and supports a positive work-life balance* Our organization complies with all EEOC guidelines and is an Equal Opportunity Employer* If you are ready to take the next step in your career as a Medical Insurance Follow-Up Representative, we encourage you to apply now by clicking the application button