Payment Variance Follow Up Representative

🔥 0 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Med-Metrix

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

🏥 Healthcare

☁️ SaaS

💰 Private equity on 2025-09

Healthcare • SaaS

Med-Metrix is a company for which only a minimal web presence was provided (the page only displayed "Loading application... Your web browser must have JavaScript enabled... "). No product, market, or mission details were included in the supplied text. Based on the company name alone, it plausibly focuses on medical or clinical metrics, analytics, or healthcare software, but that is speculative and not confirmed by the provided information. Further public details would be required to be more specific.

📋 Description

• Follow up with payers via phone, email, fax, or websites to ensure timely resolution of outstanding claims • Perform payment variance analysis to identify trends in underpaid claims • Identify and report underpayments and denial trends • Initiate appeals when necessary • Interact cooperatively and courteously with patients, visitors, coworkers, management, and clients • Maintain confidentiality and a professional attitude • Use, protect, and disclose patients’ PHI in accordance with HIPAA standards • Comply with Information Security and HIPAA policies and procedures • Limit viewing of PHI to the minimum necessary to perform assigned duties • Perform other duties as assigned

🎯 Requirements

• High School Diploma or equivalent required • 3 years’ experience in Commercial insurance collections, including submitting and following up on claims • Experience in Hospital/Facility billing • Working knowledge of the insurance follow-up process and fundamental concepts in healthcare reimbursement methodologies • Detailed knowledge of Managed Care reimbursement methodologies • Basic knowledge of healthcare claims processing, including ICD-9, CPT, HCPC codes, and UB-04 • Ability to analyze, identify, and resolve issues causing payer payment delays • Proficiency with MS Office Suite • Strong interpersonal, written, and verbal communication skills • Strong problem-solving and creative skills; ability to exercise sound judgment and make decisions based on accurate and timely analyses • High level of integrity and dependability, with a strong sense of urgency and results orientation • Gracious and welcoming personality for customer service interaction • Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes • Ability to follow directions, collaborate with others, and handle stress