Top 954 Recovery Claim Representative Jobs

Revenue Cycle Management Insurance Follow Up Representative
Vitasya Healthcare Consultants —Atlanta, GA
- $60,000 - $65,000 a year
- Full-time
- Microsoft Excel
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
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ROM TECHNOLOGIES INC —Clearwater, FL
- $20 - $24 an hour
- Computer literacy
- Writing skills
- High school diploma or GED
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CLAIMS PROCESSING ASSISTANT
AllCare Health —Grants Pass, OR
- $20 - $24 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
- 401(k)
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Warranty Administrator
Dobbs Peterbilt —Memphis, TN
- Full-time
- Microsoft Word
- 18 years or older
- Microsoft Outlook
- Disability insurance
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Collector
Cadex Solutions —Remote
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- 8 hour shift
- Writing skills
- Basic math
- High school diploma or GED
- Disability insurance
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Claims Representative
Pinnacol Assurance —Denver, CO
- $60,000 - $64,200 a year
- Remote
- Mid-level
- Office
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- Paid holidays
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11d
Claims Representative II
Pinnacol Assurance —Denver, CO
- $66,500 - $71,800 a year
- Remote
- Mid-level
- Office
- Team management
- Paid holidays
- Paid time off
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11d
Associate Claims Representative (Remote)
MEM —St. Louis, MO
- Full-time
- Remote
- No high school diploma
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- High school diploma or GED
- Profit sharing
- Paid jury duty
Managed Care Follow Up Specialist
Elevate Patient Financial Solutions —Remote
- $22.50 - $28.38 an hour
- Full-time
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- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Health insurance
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2d
Workers' compensation Subrogation Examiner
TRISTAR RISK MANAGEMENT —Atlanta, GA
- $29.00 - $31.25 an hour
- Full-time
- Remote
- Microsoft Excel
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Denial Management Specialist
Vital Connect Inc —California
- $22 - $24 an hour
- Remote
- Computer literacy
- Writing skills
- HIPAA
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Insurance Verification Representative - Remote (Tri-County Area)
University of Miami —Medley, FL
- Full-time
- Remote
- Bilingual
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
Workers’ Compensation Specialist
TransPak, Inc. —Remote
- $40,000 - $70,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Bachelor's degree
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Claims Counsel (Remote)
Ardán, Inc., A Community of Companies —Remote
- $110,000 - $140,000 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Communication skills
- Paid holidays
- Disability insurance
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Claims Recovery Representative II
SchoolsFirst FCU —Tustin, CA
- $24.56 - $35.62 an hour
- Full-time
- Research
- Mid-level
- High school diploma or GED
Revenue Recovery Representative
Willis Knighton Health —Shreveport, LA
- Full-time
- Computer literacy
- Research
- Mid-level
Clinical Executive Director
Affirmed Home Care —Rochelle Park, NJ
- $120,000 - $150,000 a year
- Weekends as needed
- Nursing
- RN License
- Office
- Health insurance
- Dental insurance
Licensed Public Adjuster
Next Generation Solar —Dallas-Fort Worth, TX
- $10,000 - $15,000 a month
- Contract
- Mid-level
- Analysis skills
- Computer skills
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5d
Medical Billing Coordinator
Cazenovia Recovery Systems, Inc —Buffalo, NY
- $25 - $26 an hour
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health savings account
- Health insurance
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Billing Specialist
True North Recovery Inc —Wasilla, AK
- $22 - $25 an hour
- Full-time
- Pass drug screening
- Mid-level
- High school diploma or GED
- Paid training
- AD&D insurance
Quick Apply
12d

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Revenue Cycle Management Insurance Follow Up Representative

Vitasya Healthcare Consultants
Atlanta, GA

Quick Apply

Job Details

Full-time
$60,000 - $65,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Health insurance authorizations
Home care experience
Medicare
Accounts receivable management
Overseeing healthcare denial management
ICD-10
HCPCS
Medicare regulations
Attention to detail
Clinical information systems
Centers for Medicare and Medicaid Services (CMS)
Medical billing and coding communication with insurance companies
Medical insurance appeals management
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medical claims submission
Medicaid
Home healthcare regulations
Home health agency experience
Time management

Full Job Description

RCM Insurance Follow Up Representative - Home Care

Full-time Monday - Friday 9a - 5p - ONSITE/IN OFFICE
$60k - $65k salaried position
Must have prior experience in full cycle RCM (from the Payor side) within Home Healthcare/Hospital Systems preferred
Must be able to work independently and with a team

Job Summary:

Vitasya Healthcare Consultants, LLC is seeking an RCM Insurance Follow Up Representative to manage a portfolio of accounts within client partners’ Government and Commercial Accounts Receivable in a home health care environment. This role is integral to the end-to-end revenue cycle, with a strong focus on resolving unpaid home health claims and optimizing reimbursement. This position is responsible for the timely, compliant, and insurance-centered resolution of outstanding accounts, ensuring proper documentation for home health-specific billing. The RCM Insurance Follow-up Representative plays a key role in denial management, underpayment recovery, and accounts receivable (A/R) reduction, supporting overall agency financial performance. Key Responsibilities:

Perform comprehensive follow-up on assigned insurance accounts via payer portals, clearinghouses, and outbound calls to ensure timely resolution and reimbursement for home health services
Analyze payer reimbursement methodologies specific to home health (e.g., Patient-Driven Groupings Model - PDGM, episodic rates, and fee for service)
Identify, investigate, and resolve home health denials and underpayments; implement strategies to prevent recurring issues
Prepare and submit/re-submit claims with a high degree of accuracy, ensuring proper coding (HCPCS, ICD-10), documentation, and compliance with home health billing requirements
Collaborate with payers and internal departments (e.g., clinical, coding, intake) to resolve eligibility, authorization, and homebound status issues
Manage claim inventory, including electronic and manual submission processes, while adhering to timely filing guidelines
Maintain accurate, audit-ready documentation of all account activity within client systems and workflow tools

Required Skills & Qualifications:

Strong knowledge of home health billing practices and claim forms (CMS-1500)
In-depth understanding of the home health revenue cycle, particularly insurance follow-up and denial resolution
Familiarity with home health payer guidelines, reimbursement structures (PDGM), and managed care contracts
Ability to navigate multiple systems (EHR, billing platforms, payer portals) with efficiency and accuracy
Excellent written and verbal communication skills, including experience handling payer escalations regarding home health authorizations
Strong attention to detail, analytical thinking, and problem-solving abilities
Patient-focused mindset with an understanding of the financial patient experience and home health care delivery

Preferred Qualifications:

Experience working with Medicare (including Home Health Agencies - HHAs), Medicaid, and commercial payers in a home health or hospice setting
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint)
Knowledge of HIPAA and healthcare compliance regulations
Proven ability to collaborate effectively with cross-functional teams and clinical leadership

#VHC1

Pay: $60,000.00 - $65,000.00 per year

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Experience:

Medical Revenue Cycle: 5 years (Required)
Medicaid Billing: 5 years (Required)
Medical Collection: 5 years (Required)
Hospital Billing: 2 years (Preferred)
Homecare: 2 years (Preferred)
AR/AR Follow up: 5 years (Required)

Work Location: In person

Quick Apply

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