[Hiring] Insurance Representative @MedSrv

Role Description

The Insurance Follow-Up Representative handles insurance claims and denials, follows up promptly with payers, and resolves issues through clear communication with insurance companies, providers, and patients. This position maintains accurate records, tracks progress, and supports process improvements for timely claim resolution.

Essential Duties and Responsibilities

• Review and correct claims in work queues; rebill or appeal as needed within set timelines.
• Communicate with insurance payers, providers, and patients to resolve disputes and ensure accurate claim processing.
• Research missing payments and post them to the correct accounts.
• Handle claim issues such as tertiary billing, W9 requests, WC/MVA claims, refunds, duplicate charges, and out-of-network verification.
• Coordinate with practices to request or provide necessary corrections.
• Track and report denial or payment trends to management.
• Meet productivity and performance goals within 90 days of employment.

Qualifications

• High school diploma or equivalent.
• A minimum of one year experience and/or training; or equivalent combination of education and experience required.

Knowledge, Skills, and Abilities

• Must have the ability to get along with others in a close office setting.
• Must work efficiently at home meeting requirements.
• Must have the ability to concentrate for extended periods of time.
• Must be willing to function and cooperate as a member of a team.

Work Environment and Physical Requirements

• This is a full-time remote position.
• Able to work at a computer for extended periods.
• Occasionally lift up to 15 lbs.

Benefits

• Pay: $18.00/hr.