Remote Medical Insurance Follow-Up Representative

Job Summary

A company is looking for a Remote Insurance Follow-Up Representative for hospitals.

Key Responsibilities

• Analyze denials to identify trends and recommend process improvements
• Contact third-party payers to resolve claims and ensure timely payments
• Prepare and submit formal appeals in compliance with payer deadlines

Required Qualifications

• Minimum 3+ years of experience in hospital billing or revenue cycle
• Preferred certifications: Certified Revenue Cycle Representative (CRCR), Certified Medical Reimbursement Specialist (CMRS), or Certified Professional Biller (CPB)
• Strong knowledge of UB-04 claim forms and payer-specific rules
• High school diploma or equivalent required; associate degree preferred
• Understanding of HIPAA and compliance requirements