Patient Financial Services Follow-Up Representative, Revenue Cycle

Mercyhealth Wisconsin and Illinois

Claims follow-up representative responsible for verifying payments and resolving account balances. Works in patient financial services at Mercyhealth, serving northern Illinois and southern Wisconsin.

Posted 5/15/2026full-timeRemote • Illinois, Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $18 - $27 per hourWebsite

About the role

Key responsibilities & impact

Verifies claims are received by the payer and follows up to obtain payment
Reviews claim adjustment reason codes or explanations of benefits for appropriate follow-up
Evaluates next steps after denial review and takes action to resolve account balance
Drafts appeals or complete reconsideration forms as needed
Obtains and sends medical records during appeals process
Calls patients or payers directly to resolve account balances
Identifies trends with payor rejections or denials and escalates issues
Maintains compliance with patient financial services policies and procedures
Works and follows up with other departments in a timely fashion
Coordinates with management and external departments for unresolved accounts

Requirements

What you’ll need

High school diploma or equivalent
Microsoft Excel required
Healthcare billing experience preferred
Basic understanding of working in multiple software applications at the same time

Benefits

Comp & perks

Medical, Dental, Vision
Life & Disability Insurance
FSA/HSA Options
Generous, accruing paid time off
Paid Parental and caregiver leave
Career advancement and educational opportunities
Tuition and certification reimbursement
Well-being Programs
Employee Discounts
On-Demand Pay
Financial Education
Annual recognition/awards events
Partner appreciation days
Family entertainment/attractions discount
Community service/improvement opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims verificationclaim adjustment reason codesappeals draftingmedical records managementaccount balance resolutiondenial reviewtrend identificationcompliance maintenancebilling experiencesoftware application proficiency

Soft Skills

communicationproblem-solvingorganizational skillscollaborationtimeliness

Certifications

high school diploma