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Claims Follow Up Representative Jobs (NOW HIRING)

Waterbury Hospital

Follow Up Rep 2

Waterbury, CT · On-site

$18 - $21.50/hr

The Follow-up Rep 2position is responsible for the reimbursement of claims from various insurance companies and or government payers. The position will maintain proper follow-up on assigned accounts ...

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 ...

Waterbury Hospital

Follow Up Rep 2

Waterbury, CT

$18 - $21.50/hr

The Follow-up Rep 2 position is responsible for the reimbursement of claims from various insurance companies and or government payers. The position will maintain proper follow-up on assigned accounts ...

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 ...

CHI Health Clinic

Insurance Follow Up Rep

Omaha, NE

$17.24 - $24.35/hr

Job Summary and Responsibilities As our Insurance Follow Up Rep, you will be a crucial asset in our ... To be successful in this insurance claims specialist role, you will need a minimum of two years of ...

CommonSpirit Health

Insurance Follow Up Rep

Omaha, NE

$15.75 - $18.75/hr

As our Insurance Follow Up Rep, you will be a crucial asset in our revenue cycle management team ... To be successful in this insurance claims specialist role, you will need a minimum of two years of ...

CHI Health Clinic

Insurance Follow Up Rep

Omaha, NE · On-site

$17.24 - $24.35/hr

Job Summary and Responsibilities As our Insurance Follow Up Rep, you will be a crucial asset in our ... To be successful in this insurance claims specialist role, you will need a minimum of two years of ...

CHI Health Clinic

Insurance Follow Up Rep

Omaha, NE

$17.24 - $24.35/hr

Job Summary and Responsibilities As our Insurance Follow Up Rep, you will be a crucial asset in our ... To be successful in this insurance claims specialist role, you will need a minimum of two years of ...

System One

Insurance Follow Up Representative

Tulsa, OK · On-site

$18 - $20/hr

System One is hiring an Insurance Follow-Up Representative for a respected healthcare organization ... Monitor denied claims and assist with recovery efforts * Review account balances and prioritize ...

CHI Health Clinic

Insurance Follow Up Rep

Omaha, NE · On-site +1

$17.24 - $24.35/hr

Job Summary and Responsibilities As our Insurance Follow Up Rep, you will be a crucial asset in our ... To be successful in this insurance claims specialist role, you will need a minimum of two years of ...

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Claims Follow Up Representative information

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

As of Aug 4, 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 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 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.

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 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.
More about Claims Follow Up Representative jobs
What job categories do people searching Claims Follow Up Representative jobs look for? The top searched job categories for Claims Follow Up Representative jobs are:
Claims Follow Up Representative jobs near you
Infographic showing various Claims Follow Up Representative job openings in the United States as of July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.

Insurance Follow-Up Representative

Healthcare Outcomes Performance Company (HOPCo)

Jacksonville, FL

$15.50 - $18.50/hr

Full-time

Medical, Retirement, PTO

Re-posted 6 days ago

Job description

INSURANCE FOLLOW-UP REPRESENTATIVE

NON-CLINICAL | BUSINESS OFFICE | FULL-TIME | JACKSONVILLE, FL  | BENEFITS PACKAGE

Established in 2001, Southeast Orthopedic Specialists is a regional leader in musculoskeletal medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. It is our wish to make industry-leading five-star orthopedic care accessible to as many people as possible.

As Southeast Orthopedic Specialists continues to grow, we are hiring Insurance Follow-Up Representatives for our Central Business Office located in Jacksonville, FL! Please see below for the functions and requirements for this position: 

Insurance Follow Representatives are responsible for following patient accounts, through the insurance payors to ensure proper reimbursement to the practice.

In this role Insurance Follow Up Reps will:

  • 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.

The ideal candidate will have:

  • 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.

    At Southeast Orthopedic Specialists, we are dedicated to taking care of you so you can take care of business! Our robust BENEFITS PACKAGE includes the following:

    • 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!

    Apply