REMOTE Inpatient Facility Claim Follow-Up Representative
Insight Global HealthcareBaltimore, MD, US- Temporary
- Remote
Job Description
Job Description
FULLY REMOTE!
Shift : M-F 8 : 00am-4 : 30pm EST
Duration : 6-month contract with potential to extend and / or convert
Must Haves :
- High school diploma or equivalent
- INPATIENT!!! Hospital billing experience
- Experience with UB04 forms
- Experience with insurance claims follow-up & appeals handling
Knowledge of DRG codes (used only in inpatient billing)
Experience using payer portals
Must understand that payers like United may have multiple contract variations (e.g., 7 different contracts).
Must be able to spot errors and inconsistencies in claims and contracts.
Capable of identifying discrepancies in claim pricing vs. payment. Must be able to determine whether a claim was underpaid, denied, or priced incorrectly.
Preferred :
Day to Day :
Insight Global is looking for Inpatient Insurance Claim Follow Up Representative to support a large hospital system in the Maryland / DC area. The Insurance Follow-Up Representative is responsible for managing post-billing insurance claim activity for non-government payers across three acute hospitals in Washington DC. This team focuses on facility claims only, and this role is focused only on inpatient claims follow up. The role focuses on resolving technical denials (underpayment or partial payment issues, authorization issues, COB issues, coding issues, misinterpretation of contract issues, etc.).
Primary Responsibilities :
Take ownership of inpatient hospital claims after billing , especially those that are denied or underpaid .
Handle all commercial payers including Aetna, Blue Cross, UnitedHealthcare, Cigna, and Medicare Advantage plans.
Differentiate between pricing errors vs. payment errors .
Scope of Work :
Company Description
At Insight Global, we’re more than just a staffing agency — we’re a people-first solutions firm that believes in the power of connection. With a nationwide presence and a reputation built on trust, integrity, and results, we specialize in placing top-tier talent across healthcare, IT, education, engineering, and professional services.
Company Description
At Insight Global, we’re more than just a staffing agency — we’re a people-first solutions firm that believes in the power of connection. With a nationwide presence and a reputation built on trust, integrity, and results, we specialize in placing top-tier talent across healthcare, IT, education, engineering, and professional services.
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