Insurance Follow Up Rep

CHI Health Clinic • Omaha, NE

21h • $17 - $24

About The Position

As an Insurance Follow Up Rep, you will resolve unpaid insurance claims and collect outstanding balances from third-party payers. The role involves reviewing denials, following up with insurers, correcting billing errors, submitting appeals, and seeking maximum reimbursement. Success requires an understanding of billing regulations, strong problem-solving skills, and effective communication to optimize revenue recovery.

CHI Health Clinic provides primary, specialty, walk-in, and virtual care through more than 20 specialties and 100 locations, with extended hours at some clinics.

Requirements

• Preferred: High school GED in General Studies and two years of revenue cycle or related work experience, upon hire; or high school graduation in General Studies and two years of revenue cycle or related work experience, upon hire.
• Preferred: Graduation from a post-high-school program in medical billing or another business-related field, upon hire.

Nice To Haves

• High school GED or high school graduation in General Studies.
• Two years of revenue cycle or related work experience.
• Graduation from a post-high-school program in medical billing or another business-related field.

Responsibilities

• Follow up with insurance payers to research and resolve unpaid insurance accounts receivable, making necessary corrections in the practice management system to support appropriate reimbursement.
• Interpret Explanation of Benefits (EOBs) and remittance advices to determine whether correct and appropriate payment was received.
• Communicate by phone and in writing to explain outstanding, denied, or underpaid balances using accurate, supported reasoning based on EOBs, reimbursement, and payer-specific requirements.
• Resubmit claims with requested information through paper or electronic methods.
• Anticipate concerns in the follow-up function, identify issues and trends, and conduct staff training to address them.
• Recognize when additional assistance is needed to resolve insurance balances and escalate issues promptly through defined communication and escalation channels.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED