Billing Follow Up Representative

Job Summary

To support moderately complex billing processes, the full-time Billing Follow Up Representative will independently review accounts, manage follow-up activities on open insurance claims, and ensure accurate reimbursement while working remotely.

Key responsibilities

• Independently review accounts and apply billing follow-up knowledge to ensure proper reimbursement from insurance payors
• Communicate with internal teams and external customers to resolve outstanding claims and validate information
• Accurately enter and update patient and insurance information into the patient accounting system while maintaining compliance with departmental 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, coding (CPT, ICD-10, HCPCS), and insurance practices preferred
• Ability to operate computer and software systems used in billing processes
• Proficient in reading and interpreting documents such as explanations of benefits (EOB) and procedure manuals