Claims Follow Up Representative

Job Summary

A company is looking for a Claims Follow Up Representative.

Key Responsibilities

• Process patient bills and follow up on third-party claims to ensure timely reimbursement
• Analyze claims for accuracy, maintain compliance with payer contracts, and resolve payment variances
• Communicate with insurers and internal departments to obtain necessary information and address claim denials

Required Qualifications

• Equivalent to a high school graduate
• Knowledge of third-party billing, including ICD, CPT, HCPCS, UB, and HCFA 1505 claim forms
• One to three years of relevant experience in medical collections or professional/hospital billing preferred
• Demonstrated critical thinking and relationship-building skills
• Ability to work independently and manage priorities effectively