Billing Follow Up Representative

Job Summary

To support moderately complex billing processes, the full-time Billing Follow Up Representative will independently review accounts, apply billing follow-up knowledge for insurance payors, and communicate effectively with internal teams and external customers while working remotely.

Key responsibilities

• Independently review accounts and resolve outstanding claims using multiple systems in compliance with guidelines
• Conduct prebilling and follow-up activities on open insurance claims, obtaining necessary documentation and ensuring accurate communication
• Maintain clear documentation of billing activities and compile information for account referrals as needed

Required qualifications

• High School Diploma or General Education Degree (GED)
• Typically requires 1 year of related experience in a medical/billing reimbursement environment
• Basic knowledge of medical terminology, coding (CPT, ICD-10, HCPCS), and insurance/reimbursement practices preferred
• Proficiency in operating computer and software systems used in billing processes
• Ability to read and interpret documents such as explanations of benefits (EOB) and procedure manuals