Insurance Follow Up Rep
About The Position
The Insurance Follow Up Rep resolves unpaid insurance claims and collects outstanding balances from third-party payers. The role reviews denials, follows up with insurers, corrects billing errors, submits appeals, and seeks maximum reimbursement. The position requires knowledge of billing regulations, problem-solving skills, and effective communication to support revenue recovery. The representative researches and resolves unpaid insurance accounts receivable, updates the practice management system as needed, interprets EOBs and remittance advices to verify appropriate payment, and communicates with payers about outstanding, denied, or underpaid balances. The role also resubmits claims when requested, identifies trends and concerns in the follow-up function, conducts staff training to address issues, and escalates cases when additional assistance is needed.
Requirements
- High school graduate upon hire, or high school GED upon hire.
Nice To Haves
- Graduation from a post-high-school program in medical billing or another business-related field.
- Two years of revenue cycle or related work experience demonstrating requisite job knowledge and abilities.
Responsibilities
- Follow up with insurance payers to research and resolve unpaid insurance accounts receivable.
- Make necessary corrections in the practice management system to support appropriate reimbursement for FMG providers.
- Interpret EOBs and remittance advices and determine whether correct and appropriate payment has been received.
- Communicate by phone and written correspondence to explain outstanding, denied, or underpaid balances using supported reasoning based on EOBs, reimbursement, and payer requirements.
- Resubmit claims with necessary information through paper or electronic methods when requested.
- Identify potential concerns and trends within the follow-up function and conduct staff training to address and rectify them.
- Recognize when additional assistance is needed and escalate issues appropriately and promptly through defined communication channels.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
