Remote Insurance Follow Up Representative

Physical Rehabilitation Network; Dallas (TX); Remote; Full time

Job summary

An established industry player is seeking a detail-oriented Follow Up Representative to join its remote team. This role is perfect for those passionate about Revenue Cycle and Medical Billing, providing an opportunity to work from home while managing claims and resolving billing inquiries. You'll play a crucial role in ensuring timely payments for services rendered at over 200 physical therapy clinics. With a focus on quality care and operational support, this company offers a dynamic work environment where your contributions directly impact patient experiences. If you thrive in a fast-paced setting and are ready to make a difference, this position is for you.

Qualifications

• 1+ years of experience in medical receivable collections preferred.
• Understanding of medical claims processing and insurance regulations.

Responsibilities

• Manage primary and secondary claims and respond to billing inquiries.
• Resolve denials and submit appeals to ensure timely payment.

Skills

Medical Billing

Revenue Cycle Management

Claim Denials Resolution

Customer Service

Medical Terminology

Education

High School Diploma or G.E.D.

Tools

Insurance Systems

Job description

Title: Follow Up Representative

Pay: $17-19/hr

Location: 100% Remote

Candidate MUST be in one of these States: NV, ID, AZ, NM, TX, MT, OK, WY, SD, ND, MN, MO, KY, TN

About the Role: If you LOVE working in a Revenue Cycle or Medical Billing in a fast-paced environment, but from the comfort of your own home, then this might be an exciting opportunity for you. We are a rapidly growing and leading physical therapy (PT) clinic platform in the U.S. We own and operate 200+ PT clinics that provide a variety of outpatient rehabilitation services, including physical therapy, occupational therapy, hand therapy, and other ancillary services. Voted Glassdoor’s “Best Places to Work 2021,” we are seeking an independent and extremely detail-oriented Follow Up Representative. The position is responsible for the full range of Payor follow-up with different types of Payors. This position is full-time (40 hours/week, Monday-Friday).

Job Duties:

• Manage primary and secondary claims
• Respond promptly to billing inquiries from patients, insurance companies, and departments
• Work with clinics to identify and resolve issues regarding outstanding account balances
• Resolve denials and submit appeals
• Utilize the most efficient resources to secure timely payment of open claims
• Research assigned correspondence and take necessary action to resolve requests
• Ensure daily accomplishments contribute toward company goals for A/R
• Resolve accounts in follow-up queues

Job Requirements:

• High School/G.E.D requirement or equivalent combination of education and experience required
• 1-year prior medical receivable collections experience preferred
• Understanding of medical claims processing
• Experience with insurance systems
• Knowledge of insurance including State and Federal rules and regulations as they relate to billing and collections
• Ability to understand claim denials/rejections
• Ability to read an Explanation of Benefits
• Knowledge of medical terminology

About Our Company:

Founded in 1991, Physical Rehabilitation Network (PRN) is a physical therapy organization headquartered in Carlsbad, California. We currently support over 200 independently owned and operated physical rehabilitation clinics across sixteen states with more than 1,800 employees.

As the leading, therapist-friendly physical rehabilitation organization in the west, our purpose is to provide our therapist partners full operational and administrative support so they can focus on what they do best: deliver the highest levels of quality care and experiences for patients.