Insurance Follow Up Representative

Job Title:

Insurance Follow Up Representative Pay Range:

$18.00 - $23.00 per hour (Commensurate with experience)

Schedule:

Monday - Friday (Standard Business Hours)

Location:

Hybrid About the Role Are you looking to elevate your career in healthcare administration? This is a premier opportunity to get your foot in the door with Healthcare Revenue Cycle Management. Whether you are a seasoned pro or looking to transition into the field, we provide the hands-on training and mentorship needed to help you master the complexities of medical billing and collections. Work Flexibility (Hybrid Model) We believe in balance. Our hybrid scheduling is designed to reward expertise and growth:

Experienced Pros:

Enjoy a hybrid schedule with 2 days remote per week after training & showcasing productivity.

Career Starters:

For those new to insurance follow-up, you will be eligible for our hybrid schedule after your initial 90-day training period and ability to hit productivity metrics. Day-to-Day Responsibilities As a Revenue Cycle Specialist, you will be the engine that keeps our financial operations running smoothly.

Your daily tasks will include:

Claim Management:

Monitor and track claim statuses, identifying and resolving rejections or denials with urgency.

Payer Communication:

Conduct regular follow-ups with insurance companies to resolve outstanding issues and ensure timely payment.

Appeals & Resolution:

Review and appeal denied claims, ensuring all documentation adheres to strict deadlines and payer requirements.

Compliance & Knowledge:

Stay sharp by maintaining up-to-date knowledge of insurance regulations, billing guidelines, and coding updates.

Cross-Functional Collaboration:

Partner with internal teams to address billing discrepancies and ensure we remain compliant with all payer mandates.

Data Analysis:

Generate and analyze billing/collection reports to identify trends and suggest process improvements.

Qualifications Must-Haves:

Prior Healthcare Experience:

A foundational understanding of the healthcare environment is required.

Industry Interest:

A strong desire to grow within the Revenue Cycle field.

Detail Oriented:

Exceptional organizational skills and a knack for spotting errors.

Nice-to-Haves:

Previous experience specifically within Insurance Follow-Up . Familiarity with Revenue Cycle Management (RCM) software. Why Join Us? "This isn't just a job; it's a career path. We prioritize internal growth and provide the technical training necessary to turn healthcare enthusiasts into revenue cycle experts." We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA). As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.