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Claims Follow Up Representative Jobs (NOW HIRING)

Brown University Health

Claims Follow Up Rep

Providence, RI · On-site

$19.97 - $32.96/hr

SUMMARY Under general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty ...

Brown University Health

Claims Follow Up Rep

$19.97 - $32.96/hr

Under general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice.

Brown University Health

Claims Follow Up Rep

$19.97 - $32.96/hr

Under general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice.

Brown University Health

Claims Follow Up Rep

Providence, RI · On-site

$19.97 - $32.96/hr

SUMMARY Under general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty ...

Insight Global

Insurance Follow Up Rep

Baltimore, MD · Remote

$19 - $23/hr

Experience with facility claims follow-up & appeals handling * * Experience with UB04 forms * This ... The representative ensures accurate reimbursement by analyzing Explanation of Benefits (EOBs ...

Medix

Follow Up Representative

Chicago, IL · On-site

$22 - $24/hr

The actual posting represents a position at one of our clients. Job Summary Our client is seeking a ... Account follow-up for unpaid, denied, and underpaid claims. * Calling insurance payers and ...

Medix

Follow Up Representative

Chicago, IL · On-site

$20 - $24/hr

The actual posting represents a position at one of our clients. Job Summary Our client is seeking a ... The primary goal is to conduct effective claims follow-up, ensure timely processing, and maintain ...

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How much do claims follow up representative jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for claims follow up representative in the United States is $24.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

What is a claims follow up representative?

Claims Follow Up Representatives are professionals in the healthcare or insurance industries who are responsible for monitoring and managing the status of insurance claims. They follow up with insurance companies, healthcare providers, and patients to resolve claim issues, ensure timely payments, and address denials or discrepancies. Their role is essential in maintaining cash flow for medical practices or insurers by making sure claims are processed accurately and promptly. They also communicate regularly to provide updates and clarify any information needed for claims resolution.

What are the key skills and qualifications needed to thrive as a claims follow up representative?

To thrive as a Claims Follow Up Representative, you need strong knowledge of insurance claims processes, attention to detail, and familiarity with billing and coding, usually supported by a high school diploma or equivalent. Proficiency with claims management software, electronic health records (EHR), and basic office applications is typically required. Excellent communication, problem-solving skills, and persistence are valuable soft skills for addressing claim discrepancies and collaborating with payers. These competencies are crucial for ensuring timely reimbursement, minimizing claim denials, and supporting the financial health of the organization.

What are the typical challenges faced by a claims follow up representative, and how can they be managed?

Claims Follow Up Representatives often encounter challenges such as delayed responses from insurance companies, managing high volumes of pending claims, and navigating complex billing issues. To manage these challenges effectively, strong organizational skills and persistent follow-up are key. Building good working relationships with both internal teams and external payers can help expedite resolutions, and staying updated on changing insurance policies ensures claims are processed accurately. Regular communication and documentation are essential for tracking claim statuses and resolving disputes efficiently.

What is the difference between Claims Follow Up Representative vs Claims Processor?

AspectClaims Follow Up RepresentativeClaims Processor
CredentialsHigh school diploma; insurance knowledgeHigh school diploma; insurance knowledge
Work EnvironmentOffice setting, interacting with insurance companies and clientsOffice setting, reviewing and processing claims
Employer & IndustryInsurance companies, healthcare providersInsurance companies, healthcare providers
Primary FocusFollowing up on outstanding claims to ensure paymentReviewing and processing claims for accuracy and approval

While both roles involve working with insurance claims, Claims Follow Up Representatives focus on tracking and resolving pending claims, whereas Claims Processors handle the initial review and approval of claims. Understanding these differences helps job seekers identify the right position based on their skills and career goals.

Is claims processing a stressful job?

Claims follow-up representatives often work in fast-paced environments where accuracy and attention to detail are essential, which can contribute to job stress. The role may involve managing high workloads, meeting deadlines, and handling difficult customer interactions, all of which can increase stress levels. However, stress varies depending on individual resilience, workplace support, and workload management skills.
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What are popular job titles related to Claims Follow Up Representative jobs?

For Claims Follow Up Representative jobs, the most frequently searched job titles are:

Claims Follow Up Representative jobs near you
Infographic showing various Claims Follow Up Representative job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 2% Contract, and 1% Nights. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.

Claims Follow Up Rep

Providence, RI • On-site

Brown University Health
Hospitals
Learn more about Brown University Healthexternal

$19.97 - $32.96/hr

Full-time

Re-posted 13 days ago

Brown University Health rating

6.7

Company rating: 6.7 out of 10

Based on 95 frontline employees who took The Breakroom Quiz

535th of 898 rated healthcare providers

Job description

SUMMARY: Under general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Review all denied claims, correct them in the system and send correctedppealed claims asbr / written correspondence, fax or via electronic submission. Identify and analyze denials and enact corrective measures as needed to effectivelybr / communicate and resolve payer errors. Continually maintain knowledge of payer specific updates via payer’s listservs, providerbr / updates, webinars, meetings and websites. Understand and maintain compliance with HIPAA guidelines when handling patient information Contact internal departments to acquire missing or erroneous information on a claimbr / resulting in adjudication delays or denials. Report to supervisor identification of denial trends resulting in revenue delays. Answers telephone inquiries from 3rd party payers; refer all unusual requests tobr / supervisor. Retrieve appropriate medical records documentation based on third party requests. Refer all accounts to supervisor for additional review if the account cannot be resolvedbr / according to normal procedures. Work with management to improve processes, increase accuracy, create efficiencies andbr / achieve the overall goals of the department. Maintain quality assurance, safety, environmental and infection control in accordancebr / with established policies, procedures, and objectives of the system andbr / affiliates. Perform other related duties as required. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: Equivalent to a high school graduate. Knowledge of 3rd party billing to include ICD, CPT, HCPCS and 1500 claim forms. Demonstrated skills in critical thinking, diplomacy and relationship-building. Highly developed communication skills, successfully demonstrated in effectively working with a wide variety of people in both individual and team settings. Demonstrated problem-solving and inductive reasoning skills which manifest themselves in creative solutions for operational inefficiencies. EXPERIENCE: One to three years of relevant experience in professional billing preferred. Experience with Epic a plus. INDEPENDENT ACTION: Incumbent generally establishes own work plan based on pre-determined priorities and standard procedures to ensure timely completion of assigned work. Problems needing clarification are reviewed with supervisor prior to taking action. SUPERVISORY RESPONSIBILITY: None

Pay Range:

$19.97-$32.96

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.


Location:

Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903

Work Type:

Monday-Friday 7:30-4

Work Shift:

Day

Daily Hours: 

8 hours

Driving Required:

No

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