Job Description
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. 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.
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.
Required Skills & Experience
• 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