Medical Billing & Insurance Follow-Up Representative (Remote: Must be MN Resident)

Location: Remote
Schedule: Monday-Friday | 8am to 4:30pm
Employment Type: Non-Exempt | Full-Time

Job Overview

We are seeking an experienced Medical Billing and Follow-Up Representative to support end-to-end insurance billing, accounts receivable (AR), payment posting, and denial management activities. This fully remote role focuses on timely claim submission, payer follow-up, EOB/ERA review, discrepancy resolution, and accurate documentation across Medicare, Medicaid, and commercial insurance payers.

This position is ideal for candidates with strong medical billing, insurance collections, clearinghouse workflows, and denial resolution experience who excel in a high-volume, detail-driven revenue cycle environment.

Key Responsibilities

• Submit professional and institutional medical claims accurately and timely
• Perform insurance follow-up on unpaid, underpaid, or denied claims
• Review and interpret Explanations of Benefits (EOBs) and Electronic Remittance Advice (ERAs / ANSI 835)
• Identify, analyze, and resolve claim denials and rejections
• Ensure correct application of CARC/RARC codes, adjustment codes, and payer-specific denial reasons
• Validate payment accuracy, contract compliance, and contractual write-offs
• Post payments, adjustments, and corrections with precision
• Perform EOB batching, remittance posting, and payer reconciliation
• Research accounts via payer portals and conduct outbound calls to insurance companies
• Verify and bill primary, secondary, and tertiary insurance coverage
• Initiate and track appeals when applicable
• Maintain accurate, compliant, and detailed account documentation
• Manage assigned work queues, tasks, and follow-up inventories
• Identify trends, recurring denial issues, and process improvement opportunities
• Communicate clearly with leadership regarding escalations and payer issues
• Support additional revenue cycle management (RCM) projects as assigned

Required Qualifications

• High school diploma or GED required
• 2+ years of experience in medical billing, insurance follow-up, clearinghouse workflows, or denial management
• Strong understanding of medical billing, AR follow-up, payment posting, and payer processes
• Experience working with Medicare, Medicaid, managed care, and commercial payers
• Familiarity with CPT, ICD-10, HCPCS, and payer billing rules
• Knowledge of EOBs, ERAs, CARC/RARC codes, and adjustment reason codes
• Ability to work independently in a remote medical billing environment
• Excellent written and verbal communication skills
• High attention to detail with strong analytical and problem-solving skills

Technical & Remote Work Requirements

• Proficiency with billing systems, databases, and payer portals
• Reliable high-speed internet
• Mobile device capable of multi-factor authentication (MFA)