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Insurance Follow Up Representative Jobs (NOW HIRING)

HOPCo

Insurance Follow Up Representative

Phoenix, AZ · On-site

$16.75 - $20.25/hr

Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections. * Verifies patient ...

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Insurance Follow Up Representative information

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

As of Jun 18, 2026, the average hourly pay for insurance follow up representative in the United States is $18.86, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $20.19 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Insurance Follow Up Representative, and why are they important?

To thrive as an Insurance Follow Up Representative, you need a solid understanding of medical billing, insurance claims processes, and often a high school diploma or equivalent. Familiarity with healthcare billing software, EHR systems, and payer portals is typically required, and certifications like Certified Revenue Cycle Specialist (CRCS) can be advantageous. Strong attention to detail, persistence, and effective communication skills help you resolve claim denials and collaborate with insurance companies. These skills ensure timely reimbursement, minimize revenue loss, and maintain accurate patient billing records.

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

AspectInsurance Follow Up RepresentativeClaims Processor
CredentialsHigh school diploma; some roles may prefer insurance certificationsHigh school diploma; insurance or claims certifications beneficial
Work EnvironmentOffice setting, interacting with insurance companies and clientsOffice setting, reviewing and processing insurance claims
Employer & IndustryInsurance companies, healthcare providersInsurance companies, third-party administrators
Primary FocusFollowing up on unpaid or delayed claims, ensuring paymentReviewing claim details, approving or denying claims

The main difference is that Insurance Follow Up Representatives focus on contacting insurance companies to resolve unpaid claims, while Claims Processors handle the initial review and decision-making on claims. Both roles require knowledge of insurance policies and strong communication skills, but their responsibilities differ in the claims lifecycle.

What are some common challenges faced by Insurance Follow Up Representatives in managing claim denials and how can they be addressed?

Insurance Follow Up Representatives often encounter challenges such as frequent claim denials, delayed payments, and complex payer requirements. To address these, representatives must stay updated on insurance policies, document interactions meticulously, and communicate effectively with both patients and insurance companies. Developing strong problem-solving skills and leveraging claim management software can help streamline the process and reduce errors. Collaboration with billing teams and maintaining up-to-date knowledge of payer rules also play a key role in overcoming these challenges.

What are Insurance Follow Up Representatives?

Insurance Follow Up Representatives are professionals who work in healthcare or insurance organizations to ensure that insurance claims are processed, followed up on, and paid in a timely manner. They review outstanding claims, communicate with insurance companies to resolve issues or denials, and update patient accounts accordingly. Their role is essential for maintaining the financial health of healthcare providers by minimizing delays and maximizing reimbursement from insurance carriers.
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Insurance Follow Up Representative jobs near you
Insurance Follow Up Representative

Insurance Follow Up Representative

Wolcott, Wood and Taylor Inc.

Chicago, IL • On-site

$18 - $21.75/hr

Other

Posted 5 days ago

Job description

Job Title: Accounts Receivable Specialist - Physician AR

Department: Revenue Cycle
Reports to: Accounts Receivable (AR) Manager

Position Summary:

The Accounts Receivable (AR) Specialist is responsible for managing and resolving outstanding accounts receivable balances related to physician services. This position plays a critical role in the revenue cycle by following up on unpaid claims, analyzing denials, and ensuring timely and accurate reimbursement from third-party payers and patients. The AR Specialist works closely with insurance companies, patients, and internal departments to identify and resolve billing issues, ensuring optimal cash flow and compliance with payer guidelines.

Key Responsibilities:

  • Follow up on outstanding receivables with third-party payers and patients to ensure timely payment.
  • Analyze and resolve denied or underpaid claims; identify root causes and recommend corrective actions.
  • Review and work claim edits, rejections, and denials to ensure claims are corrected and resubmitted as appropriate.
  • Respond to patient inquiries regarding account balances and insurance billing.
  • Maintain accurate and detailed documentation of all collection activities in the billing system.
  • Make outbound calls and/or send written correspondence to patients and payers to secure payment or obtain information.
  • Escalate complex issues to the AR Manager or other appropriate departments for resolution.
  • Assist with special projects and audits related to billing, collections, or compliance.
  • Ensure compliance with all federal, state, and payer-specific billing regulations.
  • Collaborate with the billing and coding team to correct claim errors and prevent future denials.
  • Other duties as assigned.

Education & Experience:

  • High school diploma or equivalent required.
  • Minimum 3-5 years of experience in healthcare accounts receivable, medical billing, or collections required.
  • Experience in physician billing is strongly preferred.
  • Familiarity with government and commercial insurance payers, including Medicare, Medicaid, and private health plans.
  • Working knowledge of electronic health record (EHR) and billing systems; EPIC experience is a strong plus.

Knowledge, Skills & Abilities:

  • Solid understanding of medical billing, insurance claim processes, and denial management.
  • Excellent verbal and written communication skills; ability to explain complex billing issues in a clear, patient-friendly manner.
  • Strong customer service skills with the ability to manage difficult conversations professionally.
  • High attention to detail and accuracy in data entry and account reconciliation.
  • Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
  • Proficient in Microsoft Office, especially Excel and Word.
  • Ability to maintain confidentiality of patient and financial information in compliance with HIPAA regulations.

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