Follow Up Representative

Job Description The Patient Account Follow Up Representative is responsible for post billing insurance follow up to ensure accurate and timely reimbursement. This role works claims after they have been received by the payer and focuses on resolving underpayments, denials, and coordination of benefits issues. Representatives communicate directly with insurance carriers and patients regarding co pays, deductibles, denials, and coverage discrepancies while delivering excellent customer service. The representative verifies insurance eligibility and benefits as needed, navigates Epic to review registration details, claim history, and account activity, and uses FinThrive for claims clearing and follow up workflows. This role requires timely and accurate account resolution, clear documentation, and consistent interaction with payers, patients, and internal teams to meet productivity and quality standards. The team is fast paced, so candidates should be prepared to resolve approximately 49 claims/denials per day. There are three open roles in the below focus areas: u2022u2003AmeriHealth / IBX (Commercial Payers): Follow up on commercial insurance claims, including AmeriHealth, IBX, Horizon, Aetna, and regional plans. u2022u2003Medicaid: Follow up on Medicaid claims with an emphasis on eligibility, coverage, and payer specific requirements. u2022u2003Denials & Underpayments: Research and resolve denied and underpaid claims across multiple payer types, including root cause analysis. Main Job Duties: u2022u2003Verify eligibility with insurance companies. u2022u2003Communicate with patients and insurance companies regarding co-pays, deductibles, denials, and Cost of Benefit (COB) issues. u2022u2003Resolve accounts timely and effectively. u2022u2003Provides excellent customer service. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: Skills and Requirements u2022u20031+ year of healthcare billing/AR follow up/ or back-end hospital follow up experience u2022u2003High School Diploma or equivalent required u2022u2003Working knowledge of medical billing and insurance follow up processes u2022u2003Epic experience required (must pass EPIC training) u2022u2003Proficiency in Microsoft Office (Excel, Word) u2022u2003Experience with common payers such as Medicare, AmeriHealth/IBX, Horizon, Aetna, and local plans u2022u2003FinThrive experience preferred

Created: 2026-04-04