[Remote] Insurance Follow-Up Representative II

Note: The job is a remote job and is open to candidates in USA. RemoteHunter is connecting candidates with an opportunity to manage insurance claims for hospital clients in a remote role. The position involves ensuring timely resolution and payment processing while handling denials, appeals, and account follow-up to support the financial success of healthcare organizations. Responsibilities Submit medical claims according to federal, state, and payer guidelines Review and correct claim edits, errors, and denials to ensure proper submission and payment Research and analyze claim errors and rejections for corrections Investigate, follow up with payers, and collect assigned insurance accounts receivable Maintain knowledge of payer updates and process changes to ensure accurate claims handling Assess reasons for payer non-payment and take necessary actions to resolve claims Escalate stalled claims to payers or leadership Verify and adjust claims to reflect correct client account liability and balance Identify payer-specific issues and communicate to the team and manager Perform other duties as assigned to meet business needs Skills High school diploma or equivalent One year experience in inpatient/outpatient medical billing and follow-up within a hospital or vendor setting securing insurance payments or accounts receivable resolution One year experience with hospital and/or physician claim follow-up and appeals with health insurance companies Experience with EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or comparable platforms Proficiency with Microsoft Office Suite, Teams, GoToMeeting, Zoom, and other computer applications Knowledge of ICD-10 Diagnosis, CPT/HCPCS codes, and healthcare revenue cycle rules and regulations Skilled in medical accounts investigation and payment validation Ability to make decisions independently and maintain professionalism Ability to learn and use collaboration tools and messaging systems Ability to maintain a positive demeanor and act in the best interest of the organization and clients Ability to take responsibility for quality and timeliness of work with minimal supervision Background check and exclusion verification required Benefits Paid time off 401(k) plan Health insurance including medical, dental, and vision Life insurance Paid holidays Training and development opportunities Wellness and work-life balance support Company Overview RemoteHunter is your dedicated AI job search assistant, turning the job hunt from a slow, individual effort into a quicker, smarter, and guided experience by streamlining each step of the process and speeding up your path to the right career opportunities. It was founded in 2025, and is headquartered in , with a workforce of 11-50 employees. Its website is