Billing and Follow-up Representative II – Hospital Medical Billing Follow-up Variance

Trinity Health

Billing and Follow-up Representative managing day-to-day billing and follow-up activities in revenue operations. Supporting financial processes in a remote capacity for Trinity Health.

Posted 5/29/2026full-timeRemote • Missouri • 🇺🇸 United StatesMid-LevelSenior💰 $19 - $29 per hourWebsite

About the role

Key responsibilities & impact

Work Remote Position (Pay Range: $19.2123-$28.8184)
Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location
Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts
Provides training and guidance to lower level colleagues and provide problem resolution as needed
This position reports directly to a Supervisor Billing & Follow-Up
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions
Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location
Documents claims billed, paid, settled, and follow-up in appropriate system(s)
Identifies and escalates issues affecting accurate billing and follow-up activities
Adheres to proactive practices which includes contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner
Communicates with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information
Performs all follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays
Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and accurate manner
Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution
Proactively follow up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required
May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services, e.g., number of claims and dollars billed, claims edited, claims unprocessed, etc
Assists in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as new systems, processes or payers are created
Provides problem resolution to billing and follow-up issues as needed
Other duties as needed and assigned by the supervisor

Requirements

What you’ll need

High school diploma or Associate's degree in Accounting or Business Administration or related field
A minimum of three (3) or more years' of direct experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience
Experience in a complex, multi-site environment preferred
Hospital medical billing follow-up - variance - commercial payors experience highly desirable
Experience with the Epic medical billing system needed
Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel
Completion of regulatory/mandatory certifications and skills validation competencies preferred
Excellent verbal and written communication and organizational abilities
Strong interpersonal skills are necessary in dealing with internal and external customers
Accuracy, attention to detail and time management skills
Ability to work independently
Ability performs billing and follow-up activities in a prompt and accurate manner in order to reduce potential financial loss to the patient and the Ministry Organization
Must be comfortable operating in a collaborative, shared leadership environment
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Trinity Health Website LinkedIn All Job Openings 10,000+ employees 📚 Education 🤝 Non-profit 🌍 Social Impact Education
Non-profit
Social Impact Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies. Billing and Follow-up Representative II – Hospital Medical Billing Follow-up Variance 🔥 0 minutes ago 🚗 Michigan – Remote 💵 $19 - $28 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding 🦅 H1B Visa Sponsor Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Work Remote Position (Pay Range: $19.2123-$28.8184)
Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location
Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts
Provides training and guidance to lower level colleagues and provide problem resolution as needed
This position reports directly to a Supervisor Billing & Follow-Up
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions
Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location
Documents claims billed, paid, settled, and follow-up in appropriate system(s)
Identifies and escalates issues affecting accurate billing and follow-up activities
Adheres to proactive practices which includes contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner
Communicates with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information
Performs all follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays
Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and accurate manner
Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution
Proactively follow up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required
May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services, e.g., number of claims and dollars billed, claims edited, claims unprocessed, etc
Assists in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as new systems, processes or payers are created
Provides problem resolution to billing and follow-up issues as needed
Other duties as needed and assigned by the supervisor 🎯 Requirements
High school diploma or Associate's degree in Accounting or Business Administration or related field
A minimum of three (3) or more years' of direct experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience
Experience in a complex, multi-site environment preferred
Hospital medical billing follow-up - variance - commercial payors experience highly desirable
Experience with the Epic medical billing system needed
Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel
Completion of regulatory/mandatory certifications and skills validation competencies preferred
Excellent verbal and written communication and organizational abilities
Strong interpersonal skills are necessary in dealing with internal and external customers
Accuracy, attention to detail and time management skills
Ability to work independently
Ability performs billing and follow-up activities in a prompt and accurate manner in order to reduce potential financial loss to the patient and the Ministry Organization
Must be comfortable operating in a collaborative, shared leadership environment
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Certified Coding Specialist 🔥 1 hour ago INTEGRIS Health 10,000+ employees Website LinkedIn All Job Openings Certified Coding Specialist analyzing clinical and demographic information to assign ICD-10 codes at INTEGRIS Health. Responsible for maintaining knowledge of coding guidelines and customer support. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding 🦅 H1B Visa Sponsor Inpatient Medical Coder 🔥 3 hours ago Affordable Housing Trust for Columbus and Franklin County 1 - 10 🤝 Non-profit 🏠 Real Estate 🌍 Social Impact Website LinkedIn All Job Openings Inpatient Medical Coder at UASI maintaining coding standards and quality. Seeking to utilize coding expertise in a flexible remote work environment. 🇺🇸 United States – Remote ⏰ Full Time 🟢 Junior 🟡 Mid-level 🏥 Medical Billing and Coding ProFee Multi-Specialty Coder 🔥 12 hours ago Presbyterian Healthcare Services 10,000+ employees ⚕️ Healthcare Insurance 🤝 Non-profit Website LinkedIn All Job Openings Coder responsible for coding hospital records and medical services for Presbyterian. Ensuring accuracy and compliance with legal and regulatory standards in a remote setting. 🇺🇸 United States – Remote 💵 $21 - $33 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding 🦅 H1B Visa Sponsor HIM Cert Coder, Pro Fee 🔥 14 hours ago Carle Health 10,000+ employees ⚕️ Healthcare Insurance 📚 Education Website LinkedIn All Job Openings HIM Certified Coder responsible for accurate coding of hospital and professional fee encounters at Carle Health. Understanding regulatory guidelines and optimizing revenue while maintaining compliance. 🇺🇸 United States – Remote 💵 $23 - $39 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding 🦅 H1B Visa Sponsor HCC Certified Coder 🔥 15 hours ago Monogram Health 1001 - 5000 ⚕️ Healthcare Insurance 🤝 B2B 👥 B2C Website LinkedIn All Job Openings HCC Certified Coder responsible for medical coding and documentation for Monogram Health. Collaborating with providers and coding team to ensure compliance and accuracy in clinical coding practices. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥 Medical Billing and Coding View More Medical Billing and Coding Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical claims processingfinancial counselingfinancial clearanceaccountingcustomer servicebilling follow-upvariance analysisrevenue cycle functionsproblem resolutionclaims resolution

Soft Skills

verbal communicationwritten communicationorganizational abilitiesinterpersonal skillsattention to detailtime managementindependencecollaborative leadershipintegritymotivation

Certifications

high school diplomaAssociate's degree in AccountingAssociate's degree in Business Administrationregulatory certificationsskills validation competencies