Insurance Follow-Up Representative
Greenville, SC
Category: Healthcare
Reference ID: 10079104
Shortcut: http://addisongroup.gosnaphop.com/cEeHos
Title: Insurance Follow-Up Representative
Location: Greenville, SC
Compensation: $17.50 – $24.50 / hour
Benefits: This position may be eligible for medical, dental, vision, and 401(k) benefits, depending on individual selections and applicable work-hour factors.
About the Opportunity:
Addison Group is hiring multiple Insurance Follow-Up Representatives on behalf of our client for a contract-to-hire opportunity within a growing healthcare management organization. This role is part of a revenue cycle team undergoing expansion and transformation, offering the chance to join a dynamic environment focused on improving reimbursement performance and denial resolution processes. The leadership team has done a fantastic job creating solid team culture and an environment to learn and grow. They are looking for team members that align in that vision of growth, positivity, and accountability.
Key Responsibilities:
- Review and analyze denied, unpaid, and underpaid claims to determine resolution pathways
- Research denial reasons and identify trends related to coding, eligibility, authorization, or payer processing issues
- Prepare and submit appeals in compliance with payer deadlines and documentation requirements
- Obtain and compile supporting records (medical documentation, referrals, authorizations) for claim reconsideration
- Monitor claim and appeal status through resolution, ensuring timely follow-up
- Work assigned accounts receivable queues to meet productivity and aging standards
- Contact payers via portals, correspondence, and direct outreach to resolve outstanding balances
- Investigate payment variances and underpayments to ensure accurate reimbursement
- Document all account activity thoroughly and ensure compliance with internal policies and audit standards
- Collaborate with coding, billing, and other internal teams to resolve root causes of denials and improve processes
Requirements:
- Minimum of 3+ years of healthcare revenue cycle experience, with a focus on AR or denial management
- Strong background in physician/professional billing environments preferred
- Experience working denials, insurance follow-up, or claims resolution activities
- Familiarity with payer reimbursement processes and insurance guidelines
- Experience with electronic health record or billing systems (Epic or eClinicalWorks preferred)
- Knowledge of payer portals and revenue cycle tools
- Strong analytical and problem-solving skills with attention to detail
- Ability to manage high-volume workloads and work independently
- Excellent communication skills with a professional, customer-service mindset
- Highly organized and comfortable working through complex account issues
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
#HC5
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