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
• Review and analyze claims for accuracy and compliance with payer contracts and regulations
• Communicate with insurers and internal departments to resolve billing discrepancies and 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 billing preferred
• Ability to work independently and establish work plans based on priorities
• Demonstrated skills in critical thinking and relationship-building