Medical Insurance Follow-Up Representative

gobravvo; St. Louis (MO); Remote; USD 25,000 - 39,000; Full time

Benefits offered by this job

Remote work

Health, dental, vision, and life保险

Paid time off

Job summary

gobravvo is seeking a Medical Insurance Follow-Up Representative to perform second-tier insurance follow-up for hospital and physician billing accounts. You will resolve denials and underpayments, research discrepancies, and submit appeals to ensure accurate reimbursement across commercial and government payers.

This full-time, remotely enabled role emphasizes attention to detail, effective communication, and collaboration with internal teams.

Qualifications

• Minimum 1–2 years of experience in healthcare revenue cycle management or related field.
• Proven experience with hospital billing and/or physician billing processes.
• Strong knowledge of insurance denials management, A/R follow-up, and UB-04/HCFA 1500 forms.
• Proficiency with medical billing and EHR systems (Epic, Cerner, Meditech, McKesson, Allscripts, Soarian).

Responsibilities

• Follow up on outstanding accounts receivable balances for hospital and physician billing accounts.
• Resolve insurance denials, underpayments, and unresolved claims by investigating eligibility and payer inconsistencies.
• Research aged accounts and payer issues, including high-dollar/complex claims.
• Review UB-04 and HCFA 1500 claims forms for billing accuracy and compliance.
• Communicate with payers, clients, and internal teams to facilitate claim resolution.
• Identify trends and workflow issues hindering timely reimbursement and escalate as needed.
• Submit corrected claims, rebills, secondary billing, and appeals to resolve discrepancies.
• Document all account activities and actions taken in the system.
• Collaborate with commercial and government payers to maximize collections.
• Maintain productivity and quality standards per company policies.

Skills

Analytical thinking

Attention to detail

Communication skills

Multitasking

Team collaboration

Education

High School Diploma or equivalent

Associate's or Bachelor's degree preferred

Tools

Epic

Cerner

Meditech

McKesson

Allscripts

Soarian

Job description

The Medical Insurance Follow-Up Representative plays a pivotal role in the healthcare revenue cycle, ensuring that hospitals and physician billing accounts are managed efficiently and accurately. As a Medical Insurance Follow-Up Representative, you will be responsible for back-end accounts receivable (A/R) follow-up, denial resolution, and remediation of aged accounts. This position is ideally suited for those with strong analytical skills and a commitment to supporting healthcare providers in maximizing their revenue flow. This full-time opportunity offers the flexibility of remote work, allowing you to deliver essential services from the comfort of your own environment while connecting with a team of professionals dedicated to excellence in medical billing and insurance claims resolution.

The Medical Insurance Follow-Up Representative is integral to the financial health of healthcare organizations. By working closely with both commercial and government payers, and utilizing your expertise with hospital and physician billing, you will help address and resolve denied, underpaid, or outstanding insurance claims. Your attention to detail and strong communication abilities will be key in researching account discrepancies, submitting appeals, and ensuring accurate documentation throughout the entire collections and reimbursement process. This role is perfect for those who thrive in a fast-paced setting, enjoy problem-solving, and are looking to advance their career in the healthcare revenue cycle industry.

You will have the opportunity to work with industry-standard systems such as Epic, Cerner, Meditech, McKesson, Allscripts, and Soarian. Your proficiency in Microsoft Office and other relevant software will support you in multitasking across multiple platforms, ensuring efficient workflow and effective issue resolution. If you are passionate about healthcare finance, have experience in revenue cycle management, and are eager to make a meaningful impact, this is the ideal role to grow your career.

Medical Insurance Follow-Up Representative - Summary

This position is responsible for performing second-tier insurance account follow-up, resolving denied and unpaid claims, and addressing reimbursement variances for hospital and physician billing accounts. The Medical Insurance Follow-Up Representative works collaboratively with healthcare clients, insurance payers, and internal teams to ensure claims are processed accurately and efficiently. This role supports the overall mission of enhancing revenue cycle operations and sustaining the financial viability of healthcare providers.

Duties & Responsibilities

• Conduct comprehensive follow-up on outstanding accounts receivable balances for hospital and physician billing accounts.
• Resolve insurance denials, underpayments, and unresolved claims by investigating eligibility, coding, and payer inconsistencies.
• Research and remediate aged accounts and payer issues, including high-dollar and complex claims.
• Review UB-04 and HCFA 1500 claims forms for billing accuracy and compliance.
• Communicate professionally and effectively with insurance payers, clients, and internal teams to facilitate claim resolution.
• Identify trends and workflow issues that may hinder timely reimbursement and elevate concerns as needed.
• Submit corrected claims, rebills, secondary billing, and appeals to resolve claim discrepancies.
• Document all account activities, correspondence, and actions taken in a thorough and accurate manner.
• Work with both commercial and government insurance payers to maximize collection efforts.
• Maintain required productivity and quality standards as defined by company policies and industry best practices.

Salary & Benefits

• Competitive hourly compensation reflecting experience and industry standards.
• Comprehensive benefits package including health, dental, vision, and life insurance options.
• Paid time off (PTO), paid sick leave, and paid holidays to support work-life balance.
• Opportunities for career growth and advancement within the healthcare revenue cycle field.
• Remote work flexibility, enabling you to perform your duties from anywhere with a stable internet connection.

Qualifications & Requirements

• Minimum 1-2 years of experience in healthcare revenue cycle management, medical billing, or related field.
• Proven experience with hospital billing and/or physician billing processes.
• Strong knowledge of insurance denials management, A/R follow-up, and claims forms (UB-04, HCFA 1500).
• Proficiency in using medical billing and EHR systems such as Epic, Cerner, Meditech, McKesson, Allscripts, or Soarian.
• Skilled in Microsoft Office and internet-based applications.
• High School Diploma or equivalent required; Associate's or Bachelor's degree preferred.
• Ability to multitask and manage priorities across multiple applications and systems.
• Strong written and verbal communication abilities.

Ideal Candidate Snapshot

• Detail-oriented and highly organized, with a methodical approach to resolving insurance claims and account discrepancies.
• Excellent problem-solving skills, able to identify root causes of claim denials and pursue optimal solutions.
• Comfortable working independently in a remote environment while maintaining productivity and accuracy.
• Professional demeanor and the ability to communicate effectively with clients, payers, and colleagues.
• Eager to learn and adapt within a fast-paced and evolving industry.

Other Relevant Information

• Physical requirements include the ability to sit for extended periods, frequent use of hands and fingers for typing, and occasional lifting of up to 15 pounds.
• Must be able to communicate effectively via phone and computer-based platforms.
• Working remote offers flexibility and convenience, making it an attractive opportunity for those seeking a dynamic career in healthcare revenue cycle.
• Join a team that values accuracy, integrity, and innovation in advancing the financial stability of healthcare organizations.