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Medical Insurance Follow Up Representative Jobs (NOW HIRING)

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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 Sep 9, 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 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 the key skills and qualifications needed to thrive as a medical insurance follow up representative?

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 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 are popular job titles related to Medical Insurance Follow Up Representative jobs?

For Medical Insurance Follow Up Representative jobs, the most frequently searched job titles are:

Infographic showing various Medical Insurance Follow Up Representative job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $38,099 per year, or $18.3 per hour.

Insurance Follow-Up Rep

Phoenix, AZ • On-site

$38K - $52K/yr

Part-time

Medical, Retirement

Re-posted 11 days ago


Job description

At CORE, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:

  • Competitive Health & Welfare Benefits
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events

QUALIFICATIONS

  • High school diploma/GED or equivalent working knowledge preferred.
  • 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.
  • Knowledge of the physician billing processes, ICD-10, and CPT coding.
  • Knowledge of computer systems. Experience with GE patient management system preferred.

ESSENTIAL FUNCTIONS

  • 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 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 the billing process including obtaining information from providers, ancillary services staff, and patients.
  • Assumes full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.

The Insurance Follow-Up Rep is responsible for the facilitation of insurance billing and collection activities, following patient accounts through the billing process to the payor, working with the payor through claims processing, ensuring reimbursement to the practice.

The CORE Institute team is dedicated to making the lives of others better by practicing exceptional patient care. If you would like to be part of a dedicated, dynamic healthcare team in a challenging, rewarding environment, The CORE Institute is the right place for you to grow your career.

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