Insurance Follow-Up Representative

This is a fully remote position, open to applicants in Florida.

📋 Description

• Analyze insurance denials to identify and implement the next appropriate actions to secure payment from the payer.

• Appeal claims that have been denied due to lack of authorization, medical necessity, and various other reasons.

• Confirm receipt of claims with insurance providers to guarantee prompt reimbursement.

• Decrease insurance accounts receivable by addressing outstanding accounts.

• Engage with payers via phone calls, emails, and payer portals.

• Process and respond to written communication from insurance payors.

• Identify and track trends related to claim denials.

• Address claim discrepancies reported by patients and other clinical departments.

⛳️ Requirements

• A minimum of two years of experience in medical claims processing is required.

• Ability to read and interpret the Explanation of Benefits and reasons for denial.

• Proficient in computer skills, including familiarity with Windows-based applications such as Word and Excel.

• Experience with Blue Cross/Blue Shield, commercial insurance providers, and Workers' Compensation carriers is necessary.

🏝️ Benefits

• Competitive health and supplemental benefits package.

• Monthly stipend available for use towards ancillary benefits.

• Health Savings Account (HSA) offered with qualifying high-deductible health plans, including company matching.

• Participation in a 401k plan.

• Access to an Employee Assistance Program available 24/7.

• Opportunities for Employee Appreciation Days and events.

• Paid holidays and paid time off.