Claims Follow Up Representative

Job Summary

To ensure timely reimbursement for a large multi-specialty physician practice, the full-time Claims Follow Up Representative will manage outstanding and denied claims, correcting and re-processing them while maintaining compliance with regulations in a remote, hybrid, or in-office setting.

Key responsibilities:

• Review and correct denied claims, submitting appeals to third-party payers for reimbursement
• Resolve outstanding, underpaid, and overpaid claims, identifying denial trends and reporting to the supervisor
• Maintain compliance with HIPAA guidelines and collaborate with internal departments to gather necessary claim information

Required qualifications:

• High school diploma or equivalent
• Knowledge of third-party billing, including 1500 claim forms, CPT, and ICD-10
• 1-3 years of relevant experience in insurance follow-up for professional/hospital billing
• Experience with Epic preferred
• Technical proficiency in Microsoft Excel, Outlook, and Teams applications