Insurance Follow-Up Representative

🕒 June 19

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Southeast Orthopedic Specialists

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2001

🧘 Wellness

⚽ Sports

👥 B2C

Wellness • Sports • B2C

<Southeast Orthopedic Specialists> is a regional medical practice providing comprehensive orthopedic and spine care across Northeast Florida and Southeast Georgia. The group offers surgical and non-operative treatments, physical therapy, imaging (including MRI), chiropractic services, pain management, podiatry, and ambulatory surgery centers, with urgent walk-in clinics and a team of board-certified, fellowship-trained specialists focused on musculoskeletal health and sports medicine.

📋 Description

• Review insurance denials to determine and take the next appropriate action steps to receive payment from the payor. • Appeal claims that have been denied for no auth, medical necessity, etc. • Verify receipt of claims with insurance plans to ensure timeliness of claims reimbursement. • Assume full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts. • Communicating with payors through phone calls, emails, and payor portals. • Process and take action on any written correspondence from insurance payors. • Identify and trend reasons for claim denials. • Resolve claim discrepancies reported by patients and other clinical departments.

🎯 Requirements

• Must have a minimum of two years of medical claims processing experience. • Must be able to read and understand the Explanation of Benefits and denial reasons. • Advanced computer knowledge, including Windows-based programs such as Word and Excel. • Experience working with Blue Cross/Blue Shield, Commercial insurance companies, and Workman's Compensation carriers.

🏖️ Benefits

• Competitive Health & Supplemental Benefits • Monthly stipend to use toward ancillary benefits • HSA with qualifying HDHP plans with company match • 401k plan • Employee Assistance Program available 24/7 • Employee Appreciation Days/Events • Paid Holidays & Paid Time Off • AND MORE!