Insurance Follow-Up Representative

Overview Join our dynamic healthcare team as an Insurance Follow-Up Representative, where your expertise will drive the efficient resolution of insurance claims and ensure timely reimbursements. In this vital role, you will actively engage with insurance companies, medical providers, and patients to follow up on outstanding claims, verify coverage details, and facilitate smooth communication across all parties. Your proactive approach and attention to detail will help optimize revenue cycles and enhance patient satisfaction. This paid position offers an exciting opportunity to contribute to a fast-paced, mission-driven environment dedicated to delivering exceptional healthcare support. Responsibilities Conduct thorough follow-up on unpaid or denied insurance claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems. Review medical records, billing codes (including

DRG, CPT

coding, ICD-9, ICD-10), and documentation to ensure accuracy and completeness for claim processing. Communicate effectively with insurance companies to clarify claim statuses, resolve discrepancies, and expedite payments. Collaborate with medical billing teams to update patient accounts and ensure proper coding for accurate reimbursement. Maintain detailed records of all follow-up activities, including correspondence logs, claim status updates, and resolution notes. Identify patterns in claim denials related to medical coding errors or documentation issues and recommend corrective actions. Stay current with industry standards in medical coding, billing regulations, and insurance policies to improve follow-up efficiency. Qualifications Prior experience in medical office settings or healthcare environments involving medical billing or collections is highly preferred. Strong knowledge of medical terminology, medical records management, and insurance claim processes. Familiarity with EMR/EHR systems for tracking and managing claims follow-up activities. Proficiency in medical coding including DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9/ICD-10 coding systems. Understanding of medical billing procedures and insurance reimbursement protocols. Excellent communication skills for liaising with insurance representatives, healthcare providers, and patients. Ability to analyze complex claim data and identify issues related to ICD coding or documentation errors. This role is essential for maintaining the financial health of our healthcare operations while ensuring patients receive the care they need without unnecessary delays. If you are motivated by problem-solving, detail-oriented work, and thrive in a collaborative environment focused on excellence—this is the perfect opportunity for you!

Pay:

$16.00 - $18.00 per hour

Benefits:

Dental insurance Health insurance Vision insurance

Work Location:

In person