Billing Follow Up Representative

Job Summary

To support moderately complex billing processes, the full-time Billing Follow Up Representative will actively follow up with insurance carriers on open claims, ensuring proper reimbursement through accurate data entry and compliance with guidelines in a remote environment.

Key responsibilities

• Independently review accounts and apply billing follow up knowledge to resolve outstanding claims
• Communicate effectively with internal teams and external customers to validate and correct billing information
• Maintain accurate documentation of billing activities and comply with departmental Key Performance Indicators

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 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