Medical Insurance Follow-Up Representative

gobravvo; Pittsburgh (Allegheny County); Remote; USD 42,000 - 54,000; Full time

Benefits offered by this job

Remote work flexibility

Health, dental, vision, life insurance

Paid time off and holidays

Career growth opportunities

Job summary

gobravvo is seeking a Medical Insurance Follow-Up Representative to resolve outstanding accounts receivable and insurance denials for hospital and physician billing. This remote, full-time role supports both commercial and government payers, with emphasis on accuracy and timely reimbursement.

You will review UB-04 and HCFA 1500 forms, collaborate with internal teams, and leverage multiple billing systems to improve cash flow. A strong eye for detail and problem-solving skills are essential.

Qualifications

• 1–2 years of healthcare revenue cycle management or similar field experience.
• Experience with hospital and/or physician billing processes.
• Familiarity with insurance follow-up, denials and UB-04/HCFA 1500 forms.
• Proficient in billing systems such as Epic, Cerner, Meditech, McKesson, Allscripts or Soarian.
• Proficient with Microsoft Office and web-based systems.
• Ability to multitask across multiple software platforms.
• High school diploma or equivalent required; associate or bachelor’s preferred.
• Ability to sit for long periods and lift up to 15 pounds.
• Strong communication skills via phone and computer.

Responsibilities

• Perform in-depth follow-up on outstanding accounts receivable.
• Resolve denied, underpaid, and unresolved claims for hospital and physician billing.
• Investigate aging accounts and payer issues; address eligibility discrepancies and coding questions.
• Review UB-04 and HCFA 1500 forms for accuracy and compliance.
• Communicate professionally with payers, clients, and internal teams.
• Identify payer trends and workflow barriers; escalate complex issues for reprocessing.
• Submit corrected claims, rebills, secondary billing, and appeals.
• Document all activity and correspondence per company standards.
• Collaborate with payers to resolve outstanding claims and improve cash flow.
• Maintain productivity and quality standards across tasks.

Skills

Attention to detail

Problem solving

Revenue cycle management

Multitasking

Communication

Education

High school diploma

Associate’s or Bachelor’s degree preferred

Tools

Epic

Cerner

Meditech

McKesson

Allscripts

Soarian

Job description

The role of Medical Insurance Follow-Up Representative is an essential position within the healthcare revenue cycle management field. As a Medical Insurance Follow-Up Representative, you will be responsible for ensuring accurate and timely resolution of outstanding accounts receivable, insurance claim denials, and aged accounts for both hospital and physician billing. This full-time opportunity allows you to work remotely, providing flexibility and a positive work-life balance, while contributing to the financial health of healthcare organizations.

Medical Insurance Follow-Up Representatives play a critical part in the back-end process of medical billing, focusing on the resolution of denied, underpaid, and unresolved insurance claims. By working closely with commercial and government payers, these professionals make a significant impact on a healthcare provider’s ability to maintain a steady cash flow and ensure patients’ claims are handled efficiently. The position requires a keen eye for detail, excellent problem-solving skills, and a strong understanding of revenue cycle management processes and insurance guidelines.

In this capacity, you will collaborate with internal teams, clients, and external insurance payers. Your expertise in claim forms, such as UB-04 and HCFA 1500, will be essential as you review and resolve billing discrepancies, eligibility issues, coding questions, and reimbursement variances. The ability to identify payer trends and workflow issues will allow you to recommend solutions that enhance the overall billing and collections process.

If you are experienced in healthcare revenue cycle roles, comfortable working with multiple billing systems like Epic, Cerner, Meditech, McKesson, Allscripts, or Soarian, and possess strong multitasking abilities, your skills will be highly valued in this position. You will also benefit from a supportive team environment with opportunities for ongoing professional growth and career advancement.

Medical Insurance Follow-Up Representative - Summary

• Remote, full-time position focused on the resolution of medical insurance claims and accounts receivable.
• Impact the financial success of healthcare organizations by resolving denied and unpaid claims for hospital and physician billing.
• Work within a dynamic, growth-oriented team dedicated to high-quality revenue cycle support.

Duties & Responsibilities

• Perform in-depth insurance account follow-up on outstanding A/R balances.
• Resolve denied, underpaid, and unresolved insurance claims for hospital and physician billing accounts.
• Investigate and resolve aged account and payer issues, including eligibility discrepancies and coding concerns.
• Review UB-04 and HCFA 1500 claim forms for accuracy and compliance.
• Communicate professionally with insurance payers, clients, and internal teams to resolve account issues.
• Identify payer trends and workflow barriers, escalating complex issues as needed for reprocessing.
• Submit corrected claims, rebills, secondary billing, and appeals to maximize reimbursement.
• Document account activity and correspondence thoroughly and in accordance with company standards.
• Work with commercial and government payers to resolve outstanding claims.
• Maintain productivity and quality standards in all assigned tasks.

Salary & Benefits

• Competitive compensation structure for full-time employees.
• Comprehensive health, dental, vision, and life insurance packages.
• Paid time off (PTO), paid sick leave, and paid holidays.
• Opportunities for career growth and advancement within the company.
• Flexible, remote work environment supporting work-life balance.

Qualifications & Requirements

• Minimum of 1-2 years’ experience in healthcare revenue cycle management or similar field.
• Proven experience with hospital billing and/or physician billing processes.
• Strong familiarity with insurance follow-up, denials, and claim forms such as UB-04 and HCFA 1500.
• Experience using billing systems such as Epic, Cerner, Meditech, McKesson, Allscripts, or Soarian.
• Proficiency in Microsoft Office applications and other internet-based systems.
• Ability to multitask efficiently across multiple software platforms and tasks.
• High school diploma or equivalent is required; Associate’s or Bachelor’s degree is preferred.
• Ability to sit for extended periods, use hands and fingers frequently for computer work, and occasionally lift up to 15 pounds.
• Effective communication skills via phone and computer.

Ideal Candidate Snapshot

• Detail-oriented and organized with a passion for problem-solving in a healthcare setting.
• Experienced in researching and resolving complex insurance denials and billing discrepancies.
• Comfortable working in a fast-paced, remote team environment.
• Strong communicator who can interact professionally with payers, clients, and colleagues.
• Self-motivated and proactive in meeting productivity and quality goals.

Other Relevant Information

• This position offers the flexibility of remote work, supporting work-life balance.
• Join a reputable organization committed to delivering quality revenue cycle services to healthcare providers and hospital systems.
• Take advantage of ongoing training and development opportunities to advance your career in medical billing and insurance follow-up.
• For those seeking to make a difference in healthcare operations, this is an excellent opportunity to grow and contribute.