Insurance Follow-Up Representative

Southeast Orthopedic Specialists

Insurance Follow-Up Representative responsible for following patient accounts and ensuring proper reimbursement. Role involves reviewing insurance denials and communicating with payors in Jacksonville, FL.

Posted 6/19/2026full-timeRemote • Florida • 🇺🇸 United StatesJuniorMid-LevelWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

medical claims processingclaims appealsaccounts receivable managementclaim denial analysisdiscrepancy resolutiontimeliness verificationinsurance reimbursementEOB interpretationWindows-based programsExcel

Soft Skills

communicationproblem-solvingattention to detailorganizational skills

Tools & Technologies

payor portalsinsurance plansBlue Cross/Blue ShieldCommercial insuranceWorkman's Compensation

Industry Keywords

insurance denialsclaims processingmedical necessitypayor communicationaccounts management

About the role

Key responsibilities & impact

Review insurance denials to determine and take the next appropriate action steps to receive payment from the payor.
Appeal claims that have been denied for no auth, medical necessity, etc.
Verify receipt of claims with insurance plans to ensure timeliness of claims reimbursement.
Assume full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.
Communicating with payors through phone calls, emails, and payor portals.
Process and take action on any written correspondence from insurance payors.
Identify and trend reasons for claim denials.
Resolve claim discrepancies reported by patients and other clinical departments.

Requirements

What you’ll need

Must have a minimum of two years of medical claims processing experience.
Must be able to read and understand the Explanation of Benefits and denial reasons.
Advanced computer knowledge, including Windows-based programs such as Word and Excel.
Experience working with Blue Cross/Blue Shield, Commercial insurance companies, and Workman's Compensation carriers.

Benefits

Comp & perks

Competitive Health & Supplemental Benefits
Monthly stipend to use toward ancillary benefits
HSA with qualifying HDHP plans with company match
401k plan
Employee Assistance Program available 24/7
Employee Appreciation Days/Events
Paid Holidays & Paid Time Off
AND MORE!