The Opportunity Description We are seeking an experienced Insurance Follow-Up Representative to join the client's hospital billing and Accounts Receivable (A/R) team. This position is responsible for insurance claims follow-up, denial management, payer communication, appeals, and accounts receivable collections.
Responsibilities:
Performs insurance claims follow-up and A/R collections for outstanding hospital accounts, contacting insurance payers directly to resolve unpaid, denied, rejected, and underpaid claims. Resolves claim denials and payment issues, including preparing corrected claims, reconsiderations, and appeals while meeting payer filing deadlines. Reviews and interprets payer/insurance contracts, claim history, EOBs/ERAs, and reimbursement information to identify payment discrepancies and determine appropriate follow-up actions. Maintains accurate account documentation in Epic or other EMR/EHR and billing systems, prioritize workflow, and meet departmental goals for A/R aging, collections, productivity, and reimbursement.
NOTE:
Applicants must be U.S. citizens or permanent residents (Green Card holders) to be considered for this position.
Job Type:
Full-time, Permanent.
Benefits include:
401(k), Medical, dental, vision.
Work Set Up:
100% onsite for the first 90 days at Camden, NJ 08103, with the opportunity to earn a hybrid schedule after 90 days.
Flexible schedule options:
7:00 AM-3:30 PM, 7:30 AM-4:00 PM, or 8:00 AM-4:30 PM — candidate can choose.
Requirements:
2+ years of healthcare insurance follow-up experience; hospital or hospital consulting experience preferred. Jefferson experience is a plus. Stable work history (ideally 1+ year in previous roles) and a positive attitude. Hands-on experience calling insurance payers to follow up on claims and denials. Experience reading/interpreting payer contracts and working with an EMR/EHR (Epic preferred). Must have reliable transportation/own car and be able to work onsite in Camden, NJ, 5 days/week. Public transportation is not an option.