Insurance Follow Up Rep

CHI Health Clinic • Omaha, NE

3d • $17 - $24 • Onsite

About The Position

As our Insurance Follow Up Rep, you will play a vital role in our revenue cycle management team, serving as a key advocate for accurate billing and reimbursement. You will be responsible for navigating the complexities of commercial and government health insurance payers to resolve outstanding balances and non-coding denials. By leveraging your expertise in Explanation of Benefits (EOB) and remittance advice interpretation, you will ensure that our healthcare facility maintains financial health while upholding the highest standards of professional integrity and regulatory compliance.
Every day you will manage work queues to prioritize unpaid insurance accounts receivable, utilizing phone, online portals, and written correspondence to secure appropriate reimbursement. Your daily workflow will involve researching denial trends, resubmitting claims with necessary supporting documentation, and accurately updating patient accounts within our billing system. You will also provide essential support by identifying recurring billing issues, conducting staff training to rectify process gaps, and escalating complex claim disputes to ensure timely resolution.

Requirements

• Strong background in revenue cycle operations.
• Deep understanding of CPT and ICD coding.
• Detail-oriented professional.
• Excels at critical thinking.
• Ability to effectively communicate with insurance representatives to advocate for payment.
• Two years of relevant experience.
• Commitment to data accuracy.
• Ability to maintain confidentiality while managing high-priority tasks in a fast-paced medical billing environment.

Nice To Haves

• High School GED General Studies and Two years of revenue cycle or related work experience , upon hire or
• High School Graduate General Studies and Two years of revenue cycle or related work experience , upon hire and
• Graduation from a post-high school program in medical billing or other business related field is , upon hire

Responsibilities

• Manage work queues to prioritize unpaid insurance accounts receivable.
• Utilize phone, online portals, and written correspondence to secure appropriate reimbursement.
• Research denial trends.
• Resubmit claims with necessary supporting documentation.
• Accurately update patient accounts within our billing system.
• Identify recurring billing issues.
• Conduct staff training to rectify process gaps.
• Escalate complex claim disputes to ensure timely resolution.

What This Job Offers

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