Remote Medical Insurance Follow Up Rep
Medical Insurance Follow-Up Representative 100% Remote $1822/hour | Full-Time | Permanent Opportunity We're growing and looking for experienced Medical Insurance Follow-Up Representatives to join our fully remote team! In this role, you will focus on back-end A/R follow-up, denial resolution, and aged account remediation for Hospital and/or Physician Billing accounts. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services. If you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Why Join Us?
- 100% Remote
- Flexible Schedule
- Health, Dental, Vision, and Life Insurance
- PTO, Paid Sick Leave, and Paid Holidays
- Career Growth Opportunities
What Youll Do:
- Perform second-tier insurance account follow-up on outstanding A/R balances
- Resolve denied, underpaid, and unresolved insurance claims
- Resolve aged accounts and payer issues
- Work high-dollar accounts and conduct 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
Experience & Education:
- 1-2 years of Healthcare Revenue Cycle experience required
- Experience with Hospital Billing and/or Physician Billing required
- Strong knowledge of denials, insurance follow-up, UB-04 and/or HCFA 1500 claims
- Experience using systems like Epic, Cerner, Meditech, McKesson, Allscripts, Soarian, etc.
- Proficiency in Microsoft Office and other internet-based systems
- Strong ability to multitask across multiple applications and systems
- High School Diploma or equivalent required; Associate's or Bachelor's Degree preferred
Physical Requirements:
- Ability to sit for extended periods of time
- Frequent use of hands and fingers for typing and computer work
- Ability to communicate via phone and computer
- Occasionally lift up to 15 pounds
Remote Skills: Accounts Receivable, Billing, Centers for Medicare and Medicaid Services (CMS), Communication Skills, Customer Support/Service, Customer/Client Research, Government, Health Insurance, Healthcare, Healthcare Providers, Hospital, Insurance, Insurance Claims, Life Insurance, Medical Billing, Problem Solving Skills, Quality Management, Quality Metrics, Research Skills, Trend Analysis, Typing, Vision Plan TRC Talent Solutions Apply To This Job