Insurance Follow Up Representative

Precision-Driven. People-Centered. Revenue Cycle Reimagined.

Our client RSi RCM is a nationally recognized leader in revenue cycle management services specializing in hospital and large physician practice markets. For over 20 years they have delivered customized RCM solutions that enhance profitability speed up cash flow and improve operational efficiency. With a People First philosophy they prioritize hiring sharp committed professionals to deliver exceptional results. Backed by advanced tech strong partnerships and a reputation for excellence RSi RCM sets the gold standard in healthcare financial services.

Job Description

As an Insurance Follow Up Representative you ll handle hospital insurance claims using Epic HB follow up with payers resolve denials ensure accurate payments and support patients with billing-related inquiries all while keeping compliance and professionalism at the core of your work.

Job Overview

Your Daily Tasks

Insurance Claims Management

• Use Epic Hospital Billing (HB) to review analyze and resolve outstanding hospital insurance claims
  
• Follow up on unpaid or underpaid claims with insurance carriers to ensure timely reimbursement
  
• Investigate and correct billing errors missing documentation or coding discrepancies affecting claim payments
  

Denial Resolution and Appeals

• Research claim denials to determine root causes and take corrective actions
  
• Prepare and submit appeals to insurance carriers for denied claims within established timelines
  
• Communicate with insurance companies to resolve complex issues and secure accurate payments
  

Payment Reconciliation

• Compare received payments against expected reimbursements and address discrepancies
  
• Use Epic HB tools to document all follow-up activities and maintain accurate account records
  

Patient Interaction and Support

• Support patients with account-related inquiries including verifying insurance details and addressing billing concerns
  
• Ensure patient accounts are accurate and up to date to minimize disruptions in claim processing
  

System Utilization

• Navigate and use Epic Hospital Billing tools workflows and reporting features efficiently
  
• Generate and review system reports to identify trends in denials underpayments or processing delays
  
• Document all actions taken within Epic and maintain detailed account records
  

Compliance and Reporting

• Comply with HIPAA regulations payer requirements and organizational policies
  
• Adhere to contractual obligations and federal/state regulations related to hospital billing and collections
  
• Provide regular updates to management on claim statuses trends and potential issues
  

Collaboration and Communication

• Collaborate with internal departments including coding billing and patient financial services to resolve claim issues
  
• Communicate professionally with patients providers and payers to address account concerns
  

Customer Service and Relationship Management

• Handle patient inquiries regarding hospital insurance claims billing and account balances
  
• Deliver exceptional customer service and ensure patient satisfaction
  

Continuous Improvement

• Stay current on Epic system updates payer policies and billing regulations
  
• Recommend process improvements to optimize workflows and improve claim resolution efficiency
  

Requirements

The Qualifications We Seek

• High school diploma or equivalent required; Associate s or Bachelor s degree in healthcare administration business or a related field preferred
  
• Minimum of 2 years of experience in hospital insurance follow-up hospital billing or revenue cycle management
  
• Proficiency in Epic Hospital Billing (HB) required
  
• Strong knowledge of hospital billing processes CPT/ICD-10 codes DRG coding and payer requirements
  

Benefits

Exciting Perks Await!

• 5 days work week
  
• Weekends off
  
• 20 vacation days in total
  
• Prepaid medicine
  
• Fully-customized Emapta laptop and peripherals
  
• Direct exposure to our clients
  
• Career growth opportunities
  
• Diverse and supportive work environment
  
• Prime Office Locations - Bogot and Medellin
  
• Unlimited upskilling through Emapta Academy courses (Want to know more Visit Future Team at Emapta Latam
  

  Join Emapta Latam and contribute to our legacy of transforming global outsourcing. Since 2010 Emapta has pioneered personalized outsourcing solutions empowering businesses to thrive with bespoke teams and seamless integration. Our commitment to excellence is reflected in our state-of-the-art facilities competitive compensation and a supportive work environment that fosters professional growth. With over 900 clients worldwide and a team of over 10000 talented professionals Emapta continues to set new standards in the industry. Apply now to be part of our success story in Colombia where your skills are valued and your career ambitions are supported. #EmaptaEra
  

  
  The Qualifications We Seek High school diploma or equivalent required; Associate s or Bachelor s degree in healthcare administration, business, or a related field preferred Minimum of 2 years of experience in hospital insurance follow-up, hospital billing, or revenue cycle management Proficiency in Epic Hospital Billing (HB) required Strong knowledge of hospital billing processes, CPT/ICD-10 codes, DRG coding, and payer requirements