Job Description

Insurance Follow-up Rep | Tulsa, OK

Temp-Perm | M-F 8-5 with flex hours option 

Pay Range: $19-$21

We are seeking a detail-oriented, self-motivated Insurance Follow-Up Rep to join our team. This role is responsible for resolving outstanding insurance claims by contacting payers, identifying issues, providing required documentation, and facilitating prompt reimbursement. The ideal candidate has strong analytical skills and experience navigating the full claims resolution process including denials and appeals.

Key Responsibilities:

• Contact insurance companies to determine reasons for outstanding or unpaid claims.
• Research, understand, and correct claim issues to facilitate timely payment.
• Provide additional documentation or information as requested by insurance companies.
• Identify and analyze trends in denied or delayed payments; propose and implement solutions to prevent recurrence.
• Prioritize and follow up on aged and high-dollar accounts receivable with accuracy and diligence.
• Ensure timely and effective follow-up on all assigned payer accounts.
• Serve as a backup to the Authorization Department as needed.

Required Qualifications:

• Minimum 2 years of insurance follow-up experience.
• Previous experience with insurance denials and appeals.
• Ability to navigate insurance websites to check claim and appeal statuses.
• Strong computer skills, including data entry and experience with Electronic Medical Records (EMR) systems.
• Proficiency in Microsoft Office Suite (Excel, Word, Outlook).
• Excellent written and verbal communication skills.
• Strong critical thinking and decision-making skills in moderately complex situations.
• Ability to work independently and collaboratively to meet deadlines.

Preferred Qualifications:

• Prior experience with physician billing.
• Previous authorization experience.

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* Contact insured or other involved persons to obtain missing information.

* Enter insurance- and claims-related information into database systems.

* Review insurance policy to determine coverage.

* Post or attach information to claim file.

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