Hybrid AR Follow-Up Representative (Hospital Inpatient Billing)

We are seeking an experienced Hybrid AR Follow-Up Representative specializing in hospital inpatient billing. This role requires a strong understanding of payer applications, claims processing, and collections. The ideal candidate thrives in a high-volume, metric-driven environment and is proficient in resolving complex billing issues.

Location: Remote with Quarterly On-Site Requirement
Schedule: Monday - Friday, 8:00 AM - 5:00 PM
Pay: 20.00/hr - 23.50/hr

Key Responsibilities

• Manage inpatient accounts receivable (AR) follow-up, ensuring timely and accurate claim resolution.
• Utilize payer portals to track claims, submit appeals, and resolve outstanding balances.
• Analyze and interpret UB04 forms, Explanation of Benefits (EOBs), and payer policies to ensure proper claim reimbursement.
• Maintain productivity benchmarks of 60+ accounts per day with a minimum 95% accuracy rate.
• Identify registration errors and document issues using the error tracking system.
• Stay informed on regulatory changes, payer-specific billing guidelines, and industry best practices.
• Escalate unresolved payer issues and coordinate with internal teams to ensure timely resolution.

Required Qualifications

• Minimum of two years of inpatient hospital billing experience (outpatient-only experience does not qualify).
• Proficiency in payer portals, claims follow-up, and insurance resolution.
• Strong knowledge of UB04 forms, EOBs, CPT/ICD-10 coding, and hospital billing systems.
• Experience working in a high-volume, metric-driven environment.
• Ability to type 35 words per minute.

Preferred Qualifications

• Experience handling high-dollar accounts.
• Familiarity with EOB reading and appeals processes.

Why Apply?

• Flexible work environment: Primarily remote with only four required on-site visits per year.
• Stable schedule: Monday - Friday, 8:00 AM - 5:00 PM, no weekends or patient interaction.
• Professional growth: Ongoing training, industry certifications, and career advancement opportunities.
• Supportive team environment: Work alongside experienced billing professionals in a collaborative setting.

Qualified candidates who meet the required experience and skill set are encouraged to apply.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.