HB A/R Follow Up Representative

Job Description

Job Description

Position Overview

We are hiring experienced Hospital Billing (HB) and Professional Billing (PB) A/R Follow-Up Specialists to support high-volume revenue cycle operations for a large healthcare system.

These roles focus on resolving unpaid, denied, and underpaid claims while ensuring timely reimbursement and maintaining strong payer relationships.

Responsibilities

HB & PB A/R Follow-Up Duties

• Manage full account follow-up for unpaid, denied, and underpaid claims
• Perform insurance verification and status checks via payer portals and outbound calls
• Work accounts through resolution including rebilling, corrections, and appeals
• Identify root causes of denials and billing issues
• Collaborate with coding, billing, and payer representatives to resolve complex claim issues

Appeals & Denials Management

• Execute the appeals process end-to-end
• Research missing documentation, coding errors, and reimbursement discrepancies
• Track and document claim activity accurately in systems

Productivity & Quality

• Meet production goals of 45-55+ accounts/day (PB) and HB equivalent expectations
• Maintain 95% quality accuracy standard
• Support cash acceleration and reduce A/R aging through timely follow-up

Required Skills & Experience

• 3-5+ years of Hospital Billing (HB) and/or Professional Billing (PB) A/R Follow-Up experience
• Strong knowledge of insurance collections, denials, and appeals workflows
• Experience working with Government and Commercial payers (Medicare, Medicaid, etc.)
• Strong computer and systems proficiency (EMR/EHR and payer portals)

Preferred Skills

• Experience with Cerner / Cerner Millennium
• Excel proficiency (reporting and tracking trends)
• Prior remote healthcare revenue cycle experience
• Ability to analyze denial and reimbursement trends and communicate findings clearly

Schedule

• Monday - Friday
• 7:00 AM - 7:00 PM PST
• 8-hour shift scheduled within operating window
• Centralized training schedule required during first 2 weeks

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?