Insurance Follow Up Rep

As our Insurance Follow Up Rep, you will play a vital role in our revenue cycle management team, serving as a key advocate for accurate billing and reimbursement. You will be responsible for navigating the complexities of commercial and government health insurance payers to resolve outstanding balances and non-coding denials. By leveraging your expertise in Explanation of Benefits (EOB) and remittance advice interpretation, you will ensure that our healthcare facility maintains financial health while upholding the highest standards of professional integrity and regulatory compliance.

Every day you will manage work queues to prioritize unpaid insurance accounts receivable, utilizing phone, online portals, and written correspondence to secure appropriate reimbursement. Your daily workflow will involve researching denial trends, resubmitting claims with necessary supporting documentation, and accurately updating patient accounts within our billing system. You will also provide essential support by identifying recurring billing issues, conducting staff training to rectify process gaps, and escalating complex claim disputes to ensure timely resolution.

To be successful in this role, you will possess a strong background in revenue cycle operations, coupled with a deep understanding of CPT and ICD coding. We are looking for a detail-oriented professional who excels at critical thinking and can effectively communicate with insurance representatives to advocate for payment. If you have two years of relevant experience, a commitment to data accuracy, and the ability to maintain confidentiality while managing high-priority tasks in a fast-paced medical billing environment, we invite you to apply and join our dedicated team.

Preferred

• High School GED General Studies and Two years of revenue cycle or related work experience , upon hire or
• High School Graduate General Studies and Two years of revenue cycle or related work experience , upon hire and
• Graduation from a post-high school program in medical billing or other business related field is , upon hire

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.