Follow Up Representative

The Patient Account Follow Up Representative is responsible for post billing insurance follow up to ensure accurate and timely reimbursement. This role works claims after they have been received by the payer and focuses on resolving underpayments, denials, and coordination of benefits issues. Representatives communicate directly with insurance carriers and patients regarding co pays, deductibles, denials, and coverage discrepancies while delivering excellent customer service. The representative verifies insurance eligibility and benefits as needed, navigates Epic to review registration details, claim history, and account activity, and uses FinThrive for claims clearing and follow up workflows. This role requires timely and accurate account resolution, clear documentation, and consistent interaction with payers, patients, and internal teams to meet productivity and quality standards. The team is fast paced, so candidates should be prepared to resolve approximately 49 claims/denials per day.

There are three open roles in the below focus areas:
• AmeriHealth / IBX (Commercial Payers): Follow up on commercial insurance claims, including AmeriHealth, IBX, Horizon, Aetna, and regional plans.
• Medicaid: Follow up on Medicaid claims with an emphasis on eligibility, coverage, and payer specific requirements.
• Denials & Underpayments: Research and resolve denied and underpaid claims across multiple payer types, including root cause analysis.

Main Job Duties:
• Verify eligibility with insurance companies.
• Communicate with patients and insurance companies regarding co-pays, deductibles, denials, and Cost of Benefit (COB) issues.
• Resolve accounts timely and effectively.
• Provides excellent customer service.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

• 1+ year of healthcare billing/AR follow up/ or back-end hospital follow up experience
• High School Diploma or equivalent required
• Working knowledge of medical billing and insurance follow up processes
• Epic experience required (must pass EPIC training)
• Proficiency in Microsoft Office (Excel, Word)
• Experience with common payers such as Medicare, AmeriHealth/IBX, Horizon, Aetna, and local plans

• FinThrive experience preferred

Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.