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Medical Insurance Follow Up Representative Jobs (NOW HIRING)

$16.42 - $23.19/hr

Job Summary and Responsibilities As an Insurance Follow Up Rep, you will resolve unpaid insurance ... Other Graduation from a post-high school program in medical billing or other business-related field ...

Insurance Follow Up Representative

Phoenix, AZ ยท On-site +1

$16.75 - $20.25/hr

Minimum two to three years of experience in medical billing. * Must be able to communicate ... Reviews insurance denials and rejections to determine the next appropriate action steps and obtain ...

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Medical Insurance Follow Up Representative information

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

As of Jul 13, 2026, the average hourly pay for medical insurance follow up representative in the United States is $18.32, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $20.19 per hour, depending on experience, location, and employer.

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

To thrive as a Medical Insurance Follow Up Representative, you need a solid understanding of medical billing processes, insurance claims management, and healthcare regulations, often supported by a high school diploma or relevant certification. Familiarity with billing software, EHR systems, and payer portals is typically required. Strong attention to detail, persistence, and effective communication skills help you resolve claim issues and negotiate with insurance companies. These competencies are essential to ensure accurate claim reimbursement, minimize denials, and maintain the financial health of healthcare practices.

What is a Medical Insurance Follow Up Representative?

A Medical Insurance Follow Up Representative is a healthcare professional responsible for tracking and resolving outstanding insurance claims with payers. They review denied or unpaid claims, communicate with insurance companies to clarify issues, and ensure that healthcare providers receive proper reimbursement for services rendered. Their job involves maintaining accurate records, appealing denied claims when necessary, and working closely with billing departments to resolve discrepancies. This role is essential for maintaining the financial health of medical practices and ensuring timely payments.

What are some common challenges faced by Medical Insurance Follow Up Representatives, and how can they be addressed?

Medical Insurance Follow Up Representatives often encounter challenges such as delayed claim processing, frequent denials from insurance payers, and difficulty obtaining necessary patient or provider documentation. Staying organized and maintaining persistent, professional communication with insurance companies are key strategies for overcoming these obstacles. Additionally, collaborating closely with billing teams and staying up-to-date on changing payer policies can help resolve issues more efficiently and ensure timely reimbursement.

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

AspectMedical Insurance Follow Up RepresentativeMedical Claims Processor
Primary RoleFollow up on unpaid or pending insurance claims to ensure paymentReview and process insurance claims for accuracy and completeness
Required SkillsCommunication, persistence, knowledge of insurance policiesAttention to detail, data entry, understanding of claims processing
Work EnvironmentHealthcare offices, insurance companies, hospitalsHealthcare facilities, insurance companies, claims departments
CertificationsTypically none required, knowledge of insurance preferredOften requires knowledge of claims processing systems, certifications vary

While both roles involve working with insurance claims, the Medical Insurance Follow Up Representative primarily focuses on following up on unpaid claims to secure payment, whereas the Medical Claims Processor handles the initial review and processing of claims for accuracy. Both roles require knowledge of insurance policies and work in similar healthcare environments, but their responsibilities differ in the claims lifecycle.

More about Medical Insurance Follow Up Representative jobs
What states have the most Medical Insurance Follow Up Representative jobs? States with the most job openings for Medical Insurance Follow Up Representative jobs include:
What job categories do people searching Medical Insurance Follow Up Representative jobs look for? The top searched job categories for Medical Insurance Follow Up Representative jobs are:
Infographic showing various Medical 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 $38,099 per year, or $18.3 per hour.

Insurance Follow Up Rep

Mountain Management Services

Chattanooga, TN โ€ข On-site

$16.42 - $23.19/hr

Other

Re-posted 13 days ago


Job description

Where You'll Work
CommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AIโ„ข, CMS, Healthgradesยฎ, Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence.
Job Summary and Responsibilities
As an Insurance Follow Up Rep, you will resolve unpaid insurance claims and collect outstanding balances from third-party payers.
Every day you will review denials, initiate follow-up with insurers, rectify billing errors, submit appeals, and negotiate for maximum reimbursement.
To be successful, you will understand billing regulations, possess strong problem-solving skills, and communicate effectively to optimize revenue recovery.
  • Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers.
  • Applies a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received.
  • Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements.
  • Resubmits claims with necessary information when requested through paper or electronic methods.
  • Anticipates potential areas of concern within the follow-up function; identify issues/trends and conducts staff training to address and rectify.
  • Recognizes when additional assistance is needed to resolve insurance balances and escalates appropriately and timely through defined communication and escalation channels.

Job Requirements
Required
  • High School Graduate, upon hire or
  • High School GED, upon hire

Preferred
  • Other Graduation from a post-high school program in medical billing or other business-related field and Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities