Billing Follow Up- Representative I

Callowayhealth

IL, US
Base: $20.80 - $31.20 ph; bonus/equity: not specif...
Hybrid
Review accounts for proper reimbursement
Resolve outstanding claims using multiple systems
Communicate with third-party payors and auditors
Calloway Health is seeking a Billing Follow Up Representative I for a hybrid role in Illinois, responsible for managing insurance claims and ensuring maximum reimbursement. The ideal candidate should have experience in medical billing and be familiar with coding terminology. ###

Job Summary

  • The role involves independently reviewing accounts and applying billing follow-up knowledge to ensure maximum reimbursement from all insurance payors.
  • Employees will act as a liaison with external third-party representatives to validate information and resolve claim denials while maintaining strict compliance guidelines.
  • Advocate Health offers a comprehensive suite of total rewards including competitive compensation, health benefits, retirement plans, and educational assistance programs.

Matching Summary

Match Score: 85

Calloway Health is seeking a Billing Follow Up Representative I for a hybrid role in Illinois, responsible for managing insurance claims and ensuring maximum reimbursement. The ideal candidate should have experience in medical billing and be familiar with coding terminology. ###

Salary

Base: $20.80 - $31.20 per hour; Bonus/Equity: Not specified; Benefits: Paid Time Off, Medical/Dental/Vision, Retirement match, Educational Assistance

Skills & Requirements

Must-have

  • Review accounts for proper reimbursement
  • Resolve outstanding claims using multiple systems
  • Communicate with third-party payors and auditors
  • Enter patient and insurance information accurately
  • Appeal denied claims to secure contracted amounts

Nice-to-have

  • Identify coding and compliance trends
  • Keep abreast of payer updates and changes
  • Collaborate with internal teams effectively
  • Demonstrate proficiency in software systems
  • Recommend edits or alerts for implementation

Key Requirements

  • High School Diploma or GED
  • 1 year of related experience in medical billing
  • Proficiency in CPT, ICD-10, HCPCS, and NDC codes
  • Ability to read and interpret Explanation of Benefits (EOB)

Work Rights

Not specified

Tailored Resume

Cover Letter