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Experienced Health Insurance Claim Follow Up Rep

Remote, USA Full-time Posted 2025-05-22

Sunbelt Health Partners is seeking an experienced HEALTH INSURANCE CLAIMS FOLLOW-UP AND DENIALS/APPEALS REP with experience in Revenue Cycle Management.

The daily duties require an advanced understanding of appropriate follow up (appeals vs claim), with payers’ policies and procedures and timely filing guidelines.

Candidates must have experience in handling Hospital Insurance Claims and worked with Denials/Appeals.

Attention to detail and investigational skills are a must. The ideal candidates will be good communicators, excellent at documentation, organized, adaptable, results oriented, self-motivated, energetic, flexible, and demonstrate the ability to both multi-task and prioritize.

This role is not fit for an Insurance Agent or those with only Physician Office Billing/Coding experience.

Experience and Skills:
• Five years (5) healthcare experience dealing with Hospital Claims (required)
• Two years (2) denials and/or appeals experience dealing with Hospital Claims (required)
• One year (1) billing experience dealing with Hospital Claims (preferred)
• Experience with EPIC, Cerner, and/or other major patient accounting systems (a plus)
• Demonstrate knowledge of general healthcare related office terminology
• Strong multi-tasking skills
• You must be proficient in Microsoft programs including, Outlook, Word, and Excel
• Excellent oral and written communication skills

Job Type: Full-time

Pay: $23.00 - $28.00 per hour

Expected hours: 40 per week

Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:
• 8 hour shift

Supplemental Pay:
• Bonus opportunities

Application Question(s):
• What is your State of residency? (REQUIRED)

Experience:
• Hospital Insurance Claim Billing: 1 year (Preferred)
• Hospital Claim Follow Up: 5 years (Required)
• Hospital Claim Denials or Appeals: 2 years (Required)
• EPIC, Cerner, or other major patient accounting systems: 2 years (Required)

Work Location: Remote

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