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Insurance Follow Up Rep Jobs in Houston, TX (NOW HIRING)

The Appeals Representative will be responsible for reviewing basic clinical documentation and ... Demonstrate extensive knowledge of insurance follow-up and denials. * Act as the subject matter ...

The Appeals Representative will be responsible for reviewing basic clinical documentation and ... Demonstrate extensive knowledge of insurance follow-up and denials. * Act as the subject matter ...

The Insurance Representative at PFS Group is responsible for managing client insurance accounts, ensuring customer satisfaction, and maintaining compliance with industry regulations. This role ...

Remote Insurance Rep

Houston, TX ยท On-site +1

$53K - $67K/yr

The Insurance Representative at PFS Group, under the supervision of the Insurance Supervisor ... At least one year experience in revenue cycle, with emphasis on Insurance Follow-Up, Denials ...

Remote Insurance Rep

Houston, TX ยท Remote

$53K - $67K/yr

The Insurance Representative at PFS Group, under the supervision of the Insurance Supervisor ... At least one year experience in revenue cycle, with emphasis on Insurance Follow-Up, Denials ...

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Insurance Follow Up Rep information

See Houston, TX salary details

$13

$18

$22

How much do insurance follow up rep jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for insurance follow up rep in Houston, TX is $18.01, according to ZipRecruiter salary data. Most workers in this role earn between $16.06 and $19.28 per hour, depending on experience, location, and employer.

What skills and qualifications are needed to be an insurance follow up rep?

To thrive as an Insurance Follow Up Rep, you need strong knowledge of healthcare billing, insurance claim processes, and accounts receivable, typically supported by a high school diploma or equivalent. Familiarity with medical billing software, EHR systems, and payer portals is often required. Attention to detail, persistence, and effective communication are crucial soft skills for resolving claim issues and negotiating with insurance companies. These skills and qualities are important to ensure accurate reimbursement, minimize claim denials, and support the financial health of healthcare organizations.

What is the difference between Insurance Follow Up Rep vs Claims Processor?

AspectInsurance Follow Up RepClaims Processor
Primary RoleFollow up on unpaid or delayed insurance claims to ensure paymentReview and process insurance claims for accuracy and approval
Required SkillsCommunication, persistence, knowledge of insurance policiesAttention to detail, data entry, understanding of claims procedures
Work EnvironmentOffice setting, healthcare or insurance companiesOffice setting, insurance or healthcare organizations
CertificationsGenerally none required, knowledge of insurance helpfulOften requires knowledge of claims processing systems, certifications vary

Both roles are essential in insurance operations, with the Insurance Follow Up Rep focusing on collection efforts and the Claims Processor handling claim review and approval. While they share similar environments and some skills, their core responsibilities differ in focus and daily tasks.

What is an insurance follow up rep?

Insurance Follow Up Representatives are professionals who work in healthcare billing or medical offices to ensure that insurance claims are processed and paid in a timely manner. They review outstanding insurance claims, communicate with insurance companies to resolve denials or delays, and update patient accounts accordingly. Their role is crucial for maintaining the financial health of medical practices by minimizing unpaid claims and ensuring accurate reimbursement.

What are common challenges faced by insurance follow up reps, and how can they be addressed?

Insurance Follow Up Reps often encounter challenges such as navigating complex payer requirements, handling claim denials, and meeting productivity targets. To address these, reps benefit from staying updated on payer policies, utilizing denial management tools, and maintaining clear communication with both payers and internal billing teams. Strong organizational skills and persistence are crucial, as resolving claims can require multiple follow-ups and thorough documentation. Regular training and collaboration with experienced team members also help reps stay effective and efficient in their role.
What are popular job titles related to Insurance Follow Up Rep jobs in Houston, TX? For Insurance Follow Up Rep jobs in Houston, TX, the most frequently searched job titles are:
What job categories do people searching Insurance Follow Up Rep jobs in Houston, TX look for? The top searched job categories for Insurance Follow Up Rep jobs in Houston, TX are:
Infographic showing various Insurance Follow Up Rep job openings in Houston, TX as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $37,456 per year, or $18 per hour.

Insurance Follow-Up Representative - Medicare Managed Care

Addison Group

Houston, TX โ€ข Remote

$21 - $23/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 6 days ago


Job description

Job Title: Insurance Follow-Up Representative – Medicare Managed Care

Location: Houston, TX (West Houston)

Industry: Healthcare

Pay: $21–$23 per hour

Job Type: Contract-to-Hire

Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.

About Our Client:

Addison Group is partnering with a healthcare organization seeking an experienced Insurance Follow-Up Representative to support physician billing and collections. This role focuses on resolving Medicare Managed Care claims and is ideal for candidates with strong payer follow-up and denial resolution experience.

Job Description:

The Insurance Follow-Up / Denials Representative will manage assigned accounts within a revenue cycle team, working to resolve denials, rejections, and outstanding claims. This position requires strong knowledge of professional billing workflows, payer guidelines, and the ability to work efficiently within a high-volume environment.

After an initial onsite training period, this role transitions to a hybrid schedule.

Key Responsibilities:

  • Follow up on physician claims and resolve denials, rejections, and unpaid balances.
  • Work within EMR work queues to manage assigned accounts.
  • Communicate with Medicare Managed Care payers to obtain claim status and resolve issues.
  • Submit corrected claims, reconsiderations, and appeals as needed.
  • Analyze EOBs and payer responses to determine appropriate next steps.
  • Identify and resolve billing and registration-related denials.
  • Maintain detailed and accurate documentation of all account activity.
  • Work accounts through full resolution from initial denial to payment.
  • Meet productivity and quality benchmarks.

Requirements:

  • Recent (3-4 years) physician insurance follow-up experience required (CMS-1500 claims).
  • Strong experience with denials, appeals, corrected claims, and rejections.
  • Experience with Medicare Managed Care (MCO) payers required (STAR, STAR+, CHIP, etc.).
  • Familiarity with major payers such as Molina, UHC, Aetna, and similar plans preferred.
  • Experience with Epic or similar EMR systems required.
  • Strong understanding of payer guidelines and claim resolution processes.
  • Ability to work independently and manage high-volume workloads.
  • Strong communication and documentation skills.

Additional Details:

  • Schedule: Monday–Friday, 8-hour shift (start as early as 7:00 AM)
  • Work Model: Hybrid (remote most days with periodic onsite requirements after training)
  • Training: Approximately 1–4 weeks onsite
  • Assignment Type: Contract-to-Hire
  • Environment: Business office revenue cycle team
  • Start Date: ASAP

Perks:

  • Hybrid work flexibility after onboarding
  • Opportunity to gain experience in a large healthcare system environment
  • Strong team support and structured workflows
  • Career growth potential within revenue cycle operations

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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