Insurance Follow-Up Representative

The Insurance Follow-Up Representative will be responsible for managing and resolving insurance claims denials, working closely with insurance companies and ensuring that claims are processed and paid accurately. The successful candidate will have extensive experience in denials management, a thorough understanding of denial reasons and the ability to implement effective follow-up strategies to maximize reimbursement.

Insurance Follow-Up Representative Responsibilities:

• Review and analyze denied insurance claims to identify issues and root causes. Utilize knowledge of denial reasons to effectively address and resolve claim denials
• Conduct timely and consistent follow-up with insurance payers to ensure claim resolution and payment. Monitor the status of claims and take necessary actions to expedite processing
• Prepare and submit appeals for denied or underpaid claims. Ensure all required documentation and information are included to support the appeal process
• Work closely with billing, coding and other revenue cycle teams to gather necessary information and resolve claim issues. Provide feedback to improve processes and prevent future denials
• Track and report on denial trends, follow-up activities and resolution outcomes. Use data to identify patterns and recommend improvements to reduce claim denials
• Ensure compliance with payer policies, regulatory requirements and internal procedures throughout the follow-up and appeal process
• Provide excellent service to internal teams and external payers. Address any inquiries or concerns related to claims and payments in a professional manner

Insurance Follow-Up Representative Requirements:

• High School Diploma or equivalent; Associate's degree in Healthcare Administration, Business or a related field preferred
• 3+ years of experience in healthcare revenue cycle management, with a strong focus on denials management and insurance follow-up
• In-depth knowledge of common denial reasons and insurance claim processing. Proficiency in medical coding, billing practices and payer guidelines
• Excellent written and verbal communication skills to effectively interact with payers, internal teams and management
• High level of accuracy and attention to detail in reviewing, processing and following up on claims
• Strong analytical and problem-solving skills with the ability to develop and implement solutions to resolve denials and expedite claim processing

If you fit these qualifications, we invite you to apply today!

Thank you,

Nereida Gonzalez
Project Manager - Healthcare Revenue Cycle
LaSalle Network

LaSalle Network is an Equal Opportunity Employer m/f/d/v.

LaSalle Network is the leading provider of direct hire and temporary staffing services. For over two decades, LaSalle has helped organizations hire faster and connect top talent with opportunities, from entry-level positions to the C-suite. With units specializing in Accounting and Finance, Administrative, Marketing, Technology, Supply chain, Healthcare Revenue Cycle, Call Center, Human Resources and Executive Search. LaSalle offers staffing and recruiting solutions to companies of all sizes and across all industries.

LaSalle Network is the premier staffing and recruiting firm, earning over 100 culture, revenue and industry-based awards from major publications and having its company experts regularly contribute insights on retention strategies, hiring trends and hiring challenges, and more to national news outlets. LaSalle Network offers temporary Field Employees benefit plans including medical, dental and vision coverage. Family Medical Leave, Worker's compensation, Paid Leave and Sick Leave are also provided. View a full list of our benefits here: View a full list of our benefits here.