Billing Follow Up Representative

Job Summary

To support moderately complex billing processes, the full-time Billing Follow Up Representative will manage insurance claims follow-up, ensuring proper reimbursement through independent account reviews and communication with payors in a remote environment.

Key responsibilities

• Independently review accounts and apply billing follow-up knowledge to resolve outstanding claims according to compliance guidelines
• Communicate with internal teams and external customers to validate and correct information related to billing and claims
• Accurately enter and update patient and insurance information into the patient accounting system while maintaining KPI standards

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 and coding (CPT, ICD-10, HCPCS) preferred but not required
• Proficiency in using computer and software systems relevant to billing operations
• Ability to read and interpret documents such as explanations of benefits (EOB) and operating instructions