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Remote Health Insurance Customer Service Representative

Remote, USA Full-time Posted 2026-07-01

Our rapidly growing client is hiring several Insurance Follow-up Representatives. These positions are responsible for reviewing data to ensure the validity of insurance information for claims processing. You will also answer inquiries involving individual accounts and research problems to ensure accuracy for payment. If you are enthusiastic, sharp, and committed we would love for you to join reputed company. Must be reputed company to work remotely Monday-Friday reputed company-5pm. JOB RESPONSIBILITIES: ? Follow-Up with Insurance Carriers to determine reason for claims denial and work to resolve claim for payment. ? Process claims, payments, adjustments, refunds, denials and unpaid insurance balances ? Assess and correct, reputed company needed, demographic, insurance and financial information ? Provide accurate account maintenance and documentation ? Uses and demonstrates understanding of the applicable computer systems, including system reports and reputed company procedures ? Serve as a liaison with insurance companies, reputed company party payors, and administrative personnel ? Analyze EOB?s and account documentation to identify, reconcile and resolve patterns resulting in erroneous or no reimbursement ? Review payer reputed company and ensure accounts are resolved consistent with terms ? Ability to resolve insurance denials and file appeals with government and reputed company carriers ? Accurately and reputed company processes the account including transaction recording and other functions. ? Stays up to date on reputed company, regulations, procedures and other changes affecting the department. ? Reports unusual accounts, account problems and workflow issues promptly to manager. ? Demonstrates positive and professional communication skills. ? Performs other work duties as assigned Key Competencies: ? Results-Oriented ? Strong written and verbal communication skills ? Ability to handle and maintain confidential information ? Strong work ethic Job Requirements: ? High School Diploma required ? 3-5 years of insurance follow-up experience in a hospital or physician?s office setting is preferred ? Thorough understanding of CPT, DRG, HCPC, Procedure and reputed company codes, modifiers and their effect on reimbursement ? Experience with filing UB-04 and HCFA 1500 claim form required ? Background reputed company and random drug screens Physical Requirements: ? Prolonged periods sitting at a desk and working on a computer. ? Must be reputed company to lift up to 15 pounds at times. #staffing Job Type: Full-time Pay: $16.00 - $22.00 per hour Benefits: ? 401(k) ? 401(k) matching ? Dental insurance ? Health insurance ? Paid time off ? reputed company insurance Shift: ? 8 hour shift ? Day shift Work Location: Remote Apply Job!

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