Insurance Follow Up Rep
CHI, Chattanooga, TN, United States
Job Summary and Responsibilities
As an Insurance Follow Up Rep, you will resolve unpaid insurance claims and collect outstanding balances from third‑party payers. Every day you will review denials, initiate follow‑up with insurers, rectify billing errors, submit appeals, and negotiate for maximum reimbursement. To be successful, you will understand billing regulations, possess strong problem‑solving skills, and communicate effectively to optimize revenue recovery.
Responsibilities
Follows-up with insurance payers to research and resolve unpaid accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement for all FMG providers.
Applies a thorough understanding of EOBs and remittance advices, ensuring correct and appropriate payment.
Communicates effectively over the phone and in written correspondence to explain outstanding balances, denials, and underpayments using accurate reasoning based on EOBs and payer requirements.
Resubmits claims with necessary information when requested through paper or electronic methods.
Anticipates potential concerns within follow‑up; identifies issues/trends and provides staff training to address and rectify them.
Recognizes when additional assistance is needed and escalates appropriately and timely through defined channels.
Required Qualifications
High School Graduate (upon hire) or High School GED (upon hire)
Preferred Qualifications
Graduation from a post‑high‑school program in medical billing or other business‑related field and two years of revenue cycle or related experience demonstrating requisite knowledge and abilities.
Pay Range $16.42 - $23.19 /hour
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Responsibilities
Follows-up with insurance payers to research and resolve unpaid accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement for all FMG providers.
Applies a thorough understanding of EOBs and remittance advices, ensuring correct and appropriate payment.
Communicates effectively over the phone and in written correspondence to explain outstanding balances, denials, and underpayments using accurate reasoning based on EOBs and payer requirements.
Resubmits claims with necessary information when requested through paper or electronic methods.
Anticipates potential concerns within follow‑up; identifies issues/trends and provides staff training to address and rectify them.
Recognizes when additional assistance is needed and escalates appropriately and timely through defined channels.
Required Qualifications
High School Graduate (upon hire) or High School GED (upon hire)
Preferred Qualifications
Graduation from a post‑high‑school program in medical billing or other business‑related field and two years of revenue cycle or related experience demonstrating requisite knowledge and abilities.
Pay Range $16.42 - $23.19 /hour
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