Insurance A​/R ‑Up Representative

Insurance A/R Follow‑Up Representative | Physic...

Our client is seeking Insurance A/R Follow-Up Representatives who will be responsible for managing outstanding insurance balances for physician billing. This role focuses on timely follow-up with Medicare, Medicaid, and commercial payers, resolving claim issues, submitting appeals, and ensuring accurate reimbursement. The ideal candidate has hands-on experience in physician billing, strong knowledge of insurance regulations, and the ability to work independently in a fast-paced revenue cycle environment.

• Perform additional duties as assigned.
• Ensure compliance with HIPAA and all regulatory guidelines.
• Submit and track primary and secondary insurance claims.
• Prepare and submit appeals for denied or underpaid claims.
• Participate in required training, seminars, and educational activities.
• Verify patient insurance coverage and demographic information for accuracy.
• Update patient accounts and insurance information within the billing system.
• Perform follow-up on all outstanding insurance claims in accordance with established policies and timelines.
• Place outbound calls to insurance carriers to obtain claim status and resolve issues.
• Analyze Remittance Advice (RA) and Explanation of Benefits (EOB) to identify denials, underpayments, and required corrections.
• Determine patient responsibility and communicate discrepancies to guarantors when needed.

• High School Diploma or GED.
• Knowledge of HIPAA compliance requirements.
• Excellent written and verbal communication skills.
• Ability to work independently and follow direction.
• Strong organizational, analytical, and multitasking abilities.
• Proficient computer skills and ability to navigate billing systems.
• 1–2 years of prior physician billing experience, including insurance carrier follow-up.
• Strong understanding of Medicare/Medicaid regulations and commercial insurance coverage.

• Familiarity with physician revenue cycle workflows.
• Prior experience analyzing EOBs and preparing appeals.
• Experience with Epic or similar medical billing software.