Medicare Billing Follow-Up Representative

Job Summary

To support the Medicare team, the full-time remote Medicare Billing Follow-Up Representative will manage payer follow-ups for various denials, coordinate billing activities, and ensure timely reimbursement for services rendered.

Key responsibilities

• Follow up on assigned payer denials, including no authorization and eligibility denials, ensuring accurate processing of claims
• Research and reconcile account balances, payments, and denials, making necessary appeals and corrections to maximize reimbursement
• Provide excellent customer service to patients and internal clients, addressing billing and payment issues through effective communication

Required qualifications

• Minimum of 1 year experience in Medical Insurance Accounts Receivable (AR) and/or Physician Fee for Service Billing
• Experience writing appeal letters for payer denials
• Intermediate to advanced proficiency in Microsoft Excel
• High school diploma/GED or equivalent working knowledge
• Strong knowledge of patient financial services and insurance industry processes