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Insurance Follow Up Representative Jobs (NOW HIRING)

HOPCo

Insurance Follow Up Representative

Phoenix, AZ · On-site +1

$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 Jul 8, 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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What are popular job titles related to Insurance Follow Up Representative jobs? For Insurance Follow Up Representative jobs, the most frequently searched job titles are:
Insurance Follow Up Representative jobs near you
Infographic showing various Insurance Follow Up Representative job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $39,222 per year, or $18.9 per hour.
Insurance Follow-Up Rep

Insurance Follow-Up Rep

Healthcare Outcomes Performance Company (HOPCo)

Phoenix, AZ • On-site

$16.75 - $20.25/hr

Full-time

Posted 8 days ago

Job description

• Reviews insurance denials and rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding denials/rejections.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
• Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
• Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff, and patients.
• Obtains and attaches referrals/authorizations to appointments/charges.
• Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.
• Assumes full responsibility of reducing the accounts receivable of insurance balances by working through outstanding accounts.
• Analyzes accounts for proper claims processing and payment posting through inquiries from patients or staff.
• Identifies and communicates trends and/or potential issues to management team.
• Follows and maintains all HOPCo policies and procedures, including those specific to billing and the Revenue Cycle.
• The job holder must demonstrate current competencies for job position.

EDUCATION

• High school diploma or GED

EXPERIENCE

• Minimum two to three years of experience in medical billing. Must be able to communicate effectively with physicians, patients and the public and be capable of establishing good working relationships with both internal and external customers.

REQUIREMENTS

• None

KNOWLEDGE

• Knowledge of the physician billing processes, ICD-10 and CPT coding.
• Knowledge of computer systems. Experience with Athena preferred.
• Knowledge of insurance plan websites and portals.
• Advanced computer knowledge, including Window based programs.

SKILLS

• Skill in customer service
• Skill in using computer programs and applications including Microsoft Excel, Microsoft Word and Outlook.
• Skill in establishing good working relationships with both internal and external customers.

ABILITIES

• Ability to multitask in a fast-paced environment. Must be detailed oriented with strong organizational skills.
• Ability to understand patient demographic information and determine insurance eligibility.
• Ability to work independently and demonstrate the ability to analyze data.

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