Join a USA Today Top 100 Workplace & Best in KLAS Team!
Insurance Follow-up Representative
Pay Range: 58-60K+ Annually | Schedule: Monday-Friday, 8am-5pm EST | Location: Flagstaff AZ
Work Where Excellence is Recognized
At RSi, we've proudly served healthcare providers for over 20 years, earning recognition as a "Best in KLAS" revenue cycle management firm and a USA Today Top 100 Workplace. Our reputation is built on delivering exceptional financial results for healthcare providers-and an unbeatable work culture for our team. We seek high-performing individuals willing to join our sharp, committed, and enthusiastic team. Here, your performance is valued, your growth is prioritized, and your contributions make a meaningful impact every day.
Your Role: Essential, Rewarding, Impactful
The Remote Medical Insurance Follow Up Representative researches and works on denied insurance claims with insurance companies and follows-up accordingly to resolve claims for payment. Must have Strong Medi-Cal experience. Our representatives are high performers who are resilient and consistently go above and beyond to deliver outstanding results for our customers.
What You'll Do:
- Follow-Up with Insurance Carriers to determine reason for claims denial and work to resolve claim for payment.
- Resolve insurance denials and file appeals with government and commercial carriers.
- Report unusual accounts, account problems and workflow issues promptly to manager.
- Process claims, payments, adjustments, refunds, denials and unpaid insurance balances
- Stay up to date on contract, regulation, procedure and other changes affecting the department.
- Analyze the unpaid claims and denials and identify/investigate the reasons for nonpayment and which action is needed to resolve timely.
- Serve as a liaison with insurance companies, third party payors, and administrative personnel
- Provide accurate account maintenance and documentation
- Use and demonstrate understanding of applicable computer systems, including system reports and security procedures.
- Work effectively with other staff members to accomplish work and departmental goals.
- Perform various collection actions including possibly contacting patients by phone, updating insurance information, and follow through on insurance processes.
- Adhere to applicable policies, hospital/physician billing/departmental practices and 3rd party requirements.
- Operate within the guidelines of the Health Insurance Portability and Accountability Act (HIPAA) and any other applicable Federal or state laws and company policies.
- Demonstrate positive and professional communication skills.
- Perform other work duties as assigned.
- Results Oriented
- Strong written and verbal communication skills
- Ability to handle and maintain confidential information
- Ability to manage multiple projects effectively
- Ability to collaborate effectively with team to ensure project deadlines are met
- Thorough understanding of CPT, DRG, HCPC, Procedure and Revenue codes, modifiers and their effect on reimbursement
- High School Diploma required, AA+ preferred.
- Strong Medi-Cal Experience required
- 3-5 years of insurance follow-up experience in a hospital or physician's office setting is required.
- Experience with filing UB-04 and HCFA 1500 claim form required.
- Experience in utilizing add on software such as: SSI, IDX/Centricity (preferred), Epic, FastTrack, Meditech, Cerner, and various other systems.
- Competitive pay with ample opportunities for professional growth.
- Fully remote position with a stable Monday-Friday schedule.
- Collaborative, performance-driven environment with expert leadership.
- Mission-driven work supporting essential healthcare services.
- Recognition as a nationally respected leader in healthcare revenue management.
- Prolonged periods sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
What to Expect When You Apply:
Our hiring process is designed to find exceptional candidates. Once your application is received, you'll receive an invitation to complete an initial skills assessment. This step is essential: completing this assessment promptly positions you for an interview and demonstrates your commitment to excellence.
We believe in creating exceptional teams, and this process ensures that every member at RSi has the opportunity to thrive and grow.
Ready to be part of something special? Apply now and join our team!