Medical Billing & Follow-Up Representative - Temp/ Fully Remote

Temp (3 to 6 months) | $23/hour | M-F 7:30am to 4pm Or 8am to 4:30pm CST

We are partnering with a well-established organization in the Revenue Cycle Management industry seeking an experienced Medical Billing & Follow-Up Representative to join their team. This is a fully remote opportunity supporting a variety of healthcare clients with a strong focus on claims resolution and payer follow-up.

Position Overview

This role is responsible for managing the full lifecycle of medical claims, including front-end billing, claim edits, denial management, and insurance follow-up. The ideal candidate brings a strong understanding of Medicare and commercial payers, thrives in a production-based environment, and can independently resolve complex billing issues.

Key Responsibilities

• Submit accurate claims in a timely manner across multiple payers
• Identify and resolve claim edits and clearinghouse rejections
• Perform denial management and appeals, including root cause analysis
• Review Explanation of Benefits (EOBs) and ensure payment accuracy
• Conduct insurance follow-up via payer portals and outbound calls
• Coordinate primary and secondary billing
• Research and resolve discrepancies in reimbursement
• Maintain thorough and accurate account documentation
• Work assigned queues and meet productivity expectations
• Complete payment posting tasks including EOB batching and remittance corrections
• Ensure correct usage of CARC/RARC codes and payer-specific denial codes
• Perform payer remittance reconciliations
• Communicate trends, issues, and opportunities for improvement to leadership

Required Qualifications

• 2+ years of medical billing, denial management, or insurance follow-up experience
• Strong experience with:
  • Claims billing and front-end edits
  • Denial management and appeals
  • Medicare and commercial payer guidelines
• Hands-on experience working within an EMR or billing system
• Knowledge of medical terminology and billing processes
• Experience supporting multispecialty billing environments
• Strong analytical and problem-solving skills
• Ability to manage multiple tasks and meet deadlines in a fast-paced setting
• Excellent written and verbal communication skills
• High level of accuracy and attention to detail

Preferred Qualifications

• Experience with Cerner PM P4300
• Experience with Optum Assurance

Schedule & Details

• Schedule: Monday-Friday (7:30am-4:00pm OR 8:00am-4:30pm CST)
• Location: 100% Remote
• Pay: $23/hour
• Type: Temporary (3 to 6 months)