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Insurance Follow Up Representative

Posted: June 23, 2024
Salary:US$18 - US$20 per hour
Location:Grand Junction
Job type: Permanent
Discipline:Revenue Cycle
Work Location:Remote

Job description

Location: Remote (CO, MA, NC, GA, FL, TN, TX, KY)
Shift: M-F, 8:00 am - 5:00 pm PST (some flexibilty available here)
Pay: $18-$20
Hospital Support: PST

Job Description Summary:
We are seeking a dedicated Insurance Account Representative to manage a portfolio of accounts within our Client Partner's Government, Non-Government, TPL, or Worker's Compensation Accounts Receivable. This role focuses on rapid, compliant, and patient-centric resolution of balances to maximize financial performance.

Key Tasks and Deliverables:

  • Perform follow-ups via website, portal, or phone to collect and resolve assigned insurance balances.
  • Leverage knowledge of managed care contracts, payer behaviors, and clean claim statutes to influence Payer intent and overcome payment objections or delays.
  • Understand expected reimbursement on assigned Payer(s); identify, resolve, and prevent payment discrepancies.
  • Submit/Re-submit UB-04, 1500, and other Claim forms with accurate field locators and required documentation (Itemized Statements, Medical Records, etc.).
  • Resolve coverage, coordination of benefits, and authorization issues with Payers and Patients.
  • Manage printing and mailing of Claims.
  • Consistently document all Payer and Patient encounters in the Hospital's system and Excalibur's workflow solution.

Skill Sets and Experience:

  • Proficiency with UB-04 and CMS 1500 forms.
  • Comprehensive knowledge of Government and Non-Government payers.
  • Experience with EMR systems (Epic, Cerner, Meditech preferred).
  • Expertise in insurance follow-up, payer behavior, and guidelines.
  • Ability to manage multiple systems efficiently.
  • Strong documentation, written and verbal communication skills.
  • Proficiency in Microsoft Office Products (Outlook, Word, Excel).
  • Knowledge of HIPAA and related Privacy and Security Acts.
  • Team player with a passion for healthcare.


  • High School Diploma or equivalent.


  • Handle commercial payers, specifically 4 different BCBS plans.
  • Manage a high volume of claims that are over 90 days past due.
  • Handle both high and low dollar claims, averaging 45 claims a day.
  • Follow up with providers to ensure timely payment of claims.
  • Work on complex denials, adjustment requests, and appeals.
  • Process both in-patient and out-patient claims using UB-04 and 1500 claim forms.
  • Utilize Cerner EMR system.

Must Haves:

  • Experience working on claims over 90 days past due.
  • Knowledge of commercial claims (BCBS).
  • Experience with both UB-04 and 1500s (in-patient and out-patient claims).
  • Minimum of 2 years of experience in a similar role.

Nice to Have Skills:

  • Bilingual (Spanish) is a huge plus.
  • Experience with Cerner EMR.
  • Rural health-specialty billing experience.
  • Flexibility, adaptability, and reliability.
  • Proactive and self-starter attitude.
  • Good tenure in previous positions.


  • Business casual.

Selling Points:

  • Opportunity to work with a growing organization.
  • Supporting over 8 hospitals, with more additions planned this year.
  • Collaborative team of 16 members, including 2 managers and a director.


  • Remote.

If you are a proactive, reliable individual with strong claims management experience and a passion for healthcare, we would love to hear from you.

Apply Now!