We are seeking an experienced Insurance Follow-Up Representative to join the client's hospital billing and Accounts Receivable (A/R) team.
This position is responsible for insurance claims follow-up, denial management, payer communication, appeals, and accounts receivable collections.
Responsibilities:
- Performs insurance claims follow-up and A/R collections for outstanding hospital accounts, contacting insurance payers directly to resolve unpaid, denied, rejected, and underpaid claims.
- Resolves claim denials and payment issues, including preparing corrected claims, reconsiderations, and appeals while meeting payer filing deadlines.
- Reviews and interprets payer/insurance contracts, claim history, EOBs/ERAs, and reimbursement information to identify payment discrepancies and determine appropriate follow-up actions.
- Maintains accurate account documentation in Epic or other EMR/EHR and billing systems, prioritize workflow, and meet departmental goals for A/R aging, collections, productivity, and reimbursement.
NOTE: Applicants must be U.S. citizens or permanent residents (Green Card holders) to be considered for this position.
Job Type: Full-time, Permanent.
Benefits include: 401(k), Medical, dental, vision.
Work Set Up: 100% onsite for the first 90 days at Camden, NJ 08103, with the opportunity to earn a hybrid schedule after 90 days.
Flexible schedule options: 7:00 AM-3:30 PM, 7:30 AM-4:00 PM, or 8:00 AM-4:30 PM - candidate can choose.
Requirements:
- 2+ years of healthcare insurance follow-up experience; hospital or hospital consulting experience preferred. Jefferson experience is a plus.
- Stable work history (ideally 1+ year in previous roles) and a positive attitude.
- Hands-on experience calling insurance payers to follow up on claims and denials.
- Experience reading/interpreting payer contracts and working with an EMR/EHR (Epic preferred).
- Must have reliable transportation/own car and be able to work onsite in Camden, NJ, 5 days/week. Public transportation is not an option.