Early Out Insurance Follow- Up Representative

Join a USA Today Top 100 Workplace & Best in KLAS Team!

Early Out Insurance Follow- Up Representative

Schedule: Monday–Friday, 8am–5pm EST |Location: Remote

Work Where Excellence is Recognized

At RSi, we've proudly served healthcare providers for over 20 years, earning recognition as a "Best in KLAS" revenue cycle management firm and a USA Today Top 100 Workplace. Our reputation is built on delivering exceptional financial results for healthcare providers—and an unbeatable work culture for our team. We seek high-performing individuals willing to join our sharp, committed, and enthusiastic team. Here, your performance is valued, your growth is prioritized, and your contributions make a meaningful impact every day.

Your Role: Essential, Rewarding, Impactful

To meet the victory conditions established for each client the Early Out Insurance Follow- Up Representative is responsible for reviewing data to ensure the validity of insurance information for claims processing. You will also answer inquiries involving individual accounts and research problems to ensure accuracy for payment. If you are enthusiastic, sharp, and committed we would love for you to join our team.

What You'll Do:

Follow-Up with Insurance Carriers to determine reason for claims denial and work to resolve claim for payment.
Process claims, payments, adjustments, refunds, denials, and unpaid insurance balances.
Assess and correct, when needed, demographic, insurance information.
Provide accurate account maintenance and documentation.
Uses and demonstrates understanding of the applicable computer systems, including system reports and security procedures.
Serve as a liaison with insurance companies, third party payors, and administrative personnel.
Analyze EOB’s and account documentation to identify, reconcile and resolve patterns resulting in erroneous or no reimbursement.
Review payer contracts and ensure accounts are resolved consistent with terms.
Ability to resolve insurance denials and file appeals with government and commercial carriers.
Accurately and efficiently processes the account including transaction recording and other functions.
Stays up to date on contracts, regulations, procedures, and other changes affecting the department.
Reports unusual accounts, account problems and workflow issues promptly to manager.
Demonstrates positive and professional communication skills.
Performs other related duties as assigned.

What We're Looking For:

High School Diploma is required
3-5 years of insurance follow-up experience in a hospital or physician’s office setting is preferred.
Results-Oriented
Strong written and verbal communication skills
Ability to handle and maintain confidential information
Strong work ethic

Why You'll Love RSi:

Competitive pay with ample opportunities for professional growth.
Fully remote position with a stable Monday–Friday schedule.
Collaborative, performance-driven environment with expert leadership.
Mission-driven work supporting essential healthcare services.
Recognition as a nationally respected leader in healthcare revenue management.

Physical Requirements:

Prolonged periods sitting at a desk and working on a computer.
Must be able to lift up to 15 pounds at times.

What to Expect When You Apply:

Our hiring process is designed to find exceptional candidates. Once your application is received, you'll receive an invitation to complete an initial skills assessment. This step is essential: completing this assessment promptly positions you for an interview and demonstrates your commitment to excellence.

We believe in creating exceptional teams, and this process ensures that every member at RSi has the opportunity to thrive and grow.

Ready to be part of something special? Apply now and join our team!

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