Insurance Follow-Up Rep - Healthcare A/R (Permanent)

PSG Global Solutions LLC
  • Camden, NJ
    6 days ago

    Job Description

    We are seeking an experienced Insurance Follow-Up Representative to join the client's hospital billing and Accounts Receivable (A/R) team.

    This position is responsible for insurance claims follow-up, denial management, payer communication, appeals, and accounts receivable collections.

    Responsibilities:

    • Performs insurance claims follow-up and A/R collections for outstanding hospital accounts, contacting insurance payers directly to resolve unpaid, denied, rejected, and underpaid claims.
    • Resolves claim denials and payment issues, including preparing corrected claims, reconsiderations, and appeals while meeting payer filing deadlines.
    • Reviews and interprets payer/insurance contracts, claim history, EOBs/ERAs, and reimbursement information to identify payment discrepancies and determine appropriate follow-up actions.
    • Maintains accurate account documentation in Epic or other EMR/EHR and billing systems, prioritize workflow, and meet departmental goals for A/R aging, collections, productivity, and reimbursement.

    NOTE: Applicants must be U.S. citizens or permanent residents (Green Card holders) to be considered for this position.

    Job Type: Full-time, Permanent.

    Benefits include: 401(k), Medical, dental, vision.

    Work Set Up: 100% onsite for the first 90 days at Camden, NJ 08103, with the opportunity to earn a hybrid schedule after 90 days.

    Flexible schedule options: 7:00 AM-3:30 PM, 7:30 AM-4:00 PM, or 8:00 AM-4:30 PM - candidate can choose.

    Requirements:

    • 2+ years of healthcare insurance follow-up experience; hospital or hospital consulting experience preferred. Jefferson experience is a plus.
    • Stable work history (ideally 1+ year in previous roles) and a positive attitude.
    • Hands-on experience calling insurance payers to follow up on claims and denials.
    • Experience reading/interpreting payer contracts and working with an EMR/EHR (Epic preferred).
    • Must have reliable transportation/own car and be able to work onsite in Camden, NJ, 5 days/week. Public transportation is not an option.

    Numbers & Facts

    LocationCamden, NJ

    Skills

    • Accounts Receivableunmatched
    • Billingunmatched
    • Consultingunmatched
    • Contract Analysisunmatched
    • Credit and Collectionsunmatched
    • Documentationunmatched
    • Electronic Medical Recordsunmatched
    • Epic Systemsunmatched
    • Establish Prioritiesunmatched
    • Health Insuranceunmatched
    • Healthcareunmatched
    • Hospitalunmatched
    • Insuranceunmatched
    • Insurance Claimsunmatched
    • Medical Billingunmatched
    • Medical Record Systemunmatched
    • Reconciliationunmatched
    • Reimbursementunmatched
    • Time Managementunmatched

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