Professional Billing Denials and Follow Up Representative

The Professional Billing Denials and Follow Up Representative handles billing, claims, and collections for healthcare services, ensuring compliance and efficient revenue cycle management.

Location: United States

Salary: $41k-$54k

Responsibilities

• Meet productivity and quality standards in claim resolution, documentation, and communication.
• Follow-up and collect third-party payer receivables, including denials and appeals.
• Support operations related to third-party accounts receivables across various insurance types.
• Review work lists daily to ensure accounts are processed.
• Utilize government and commercial guidelines for collections and recommend write-offs.
• Practice HIPAA privacy standards and contribute to team goals.
• Identify opportunities for process improvement and follow policies and procedures.
• Use hospital and external software systems and report issues.
• Assist with special projects and participate in training.

Requirements

• High School diploma or equivalent.
• One year related work experience or college degree.
• Ability to perform mathematical calculations.
• Basic knowledge of medical terminology and billing practices.
• Extensive experience with PC applications, including Microsoft Office and Excel.

Benefits

• Wide range of benefits to improve physical, emotional, and financial well-being.
• Protection for unexpected life events.

Additional Information

• Background check including criminal history is required.
• Artificial Intelligence tools may be used in candidate review.
• Equal opportunity employer, non-discriminatory hiring practices.
• Sign-on bonus eligibility varies, internal employees and recent rehires may not qualify.