Job Description The Follow-Up Representative, Transplant Claims is responsible for managing denied and rejected transplant-related claims to ensure accurate reimbursement and timely resolution. This individual will investigate claim denials, identify root causes, and work directly with payers, transplant coordinators, and internal revenue cycle teams to secure payment. The representative will maintain detailed documentation, submit appeals when appropriate, and monitor accounts through resolution. Success in this role requires strong knowledge of transplant billing regulations, payer requirements, and denial management best practices. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

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https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements 3+ years of healthcare revenue cycle experience with a focus on insurance follow-up, denial management, or accounts receivable. Experience working denied and rejected claims from initiation through resolution. Knowledge of transplant billing processes, authorization requirements, and payer guidelines. Strong understanding of EOBs, remittance advice, claim edits, and appeals processes. Experience working within an EMR or billing system such as Epic, Cerner, or Meditech. Direct experience supporting solid organ and/or bone marrow transplant billing. Knowledge of Medicare, Medicaid, and commercial payer transplant reimbursement policies. Relevant certifications such as CRCR, CPB, or CPC.