Billing and Follow-up Representative-II (Medical Billing)

TL;DR

Billing and Follow-up Representative-II (Medical Billing): Managing day-to-day billing and follow-up activities within revenue operations for government and non-government accounts with an accent on claim resolution and reimbursement maximization. Focus on researching claim rejections, investigating payment delays, and collaborating with hospital departments to resolve billing discrepancies.

Location: Remote (Must be based in the USA)

Salary: $19.21 – $28.82 per hour

Company

hirify.global is a large healthcare organization dedicated to providing compassionate, person-centered care rooted in mission and core values.

What you will do

• Perform daily billing and follow-up activities for government and non-government accounts to support the revenue cycle.
• Document claims billed, paid, and settled while identifying and escalating issues affecting billing accuracy.
• Investigate overpayments, underpayments, credit balances, and payment delays to maximize reimbursement.
• Research and correct claim rejections to ensure timely and accurate claim resolution.
• Contact patients and third-party payers to determine the cause of payment delays and supply necessary data.
• Provide training, guidance, and problem resolution to lower-level colleagues.

Requirements

• High school diploma or Associate's degree in Accounting, Business Administration, or a related field.
• Minimum of 3+ years of direct experience in revenue cycle functions within a hospital, clinic, or healthcare financial setting.
• Experience with the Epic medical billing system is required.
• Proficiency in Microsoft Office (Outlook, Word, PowerPoint, and Excel).
• Excellent verbal and written communication and organizational abilities.
• Ability to work independently while operating in a collaborative, shared leadership environment.

Nice to have

• Experience with hospital medical billing follow-up specifically for commercial payors.
• Completion of regulatory/mandatory certifications and skills validation competencies.

Culture & Benefits

• Full-time employment with a stable day shift schedule.
• Fully remote work arrangement.
• Collaborative environment focused on honesty, integrity, and caring.
• Commitment to diversity, equity, and inclusion as an Equal Opportunity Employer.