Insurance Follow Up Representative

Description Primary responsibilities will include submitting claims, posting payments, working payor rejections and denials, and completing follow ups to ensure accurate and timely processing and payment, following all applicable compliance and regulatory processes, payer guidelines, and internal policies and procedures. Ensure timely and accurate billing of claims via electronic or paper to Medicare, Medicaid, and Commercial Insurances in accordance with policy using primarily Niko Health claim submission software and Salesforce.

Work with all payers to ensure medical claims are being processed timely and paid accurately. Analyze and post EOB payments and denials in all billing systems, ensuring correct processing and payment. Determine root cause and prevention of future rejections & denials, advising management and appeals team where necessary. Route claims and/or balances that are deemed uncollectible to Financial Patient Responsibility Review or Write Off Queues timely and appropriately.

Assist and communicate effectively with our patients, doctors, customers, and coworkers with billing inquiries at the highest-level support possible. Able to Identify process improvement opportunities and recommend potential solutions to improve departmental workflow. Assist with any other duties or projects on an as needed basis.

Additional

Skills & Qualifications A comprehensive understanding of Medicare, Medicaid, and/or Commercial Insurance program rules as it pertains to DME billing. Ability to take direction and communicate effectively with customers and employees at all levels of the organization. Ability to thrive in a fast-paced and dynamically changing organization. Must have strong work ethic. Excellent oral and written communication skills required. Strong attention to detail Ability to prioritize and manage daily responsibilities effectively Solutions-oriented problem solver Excellent planning, communication and organizational skills.

2 years of Medicare, Medicaid and/or Commercial Insurance experience, particularly in HME, highly preferred. Intermediate knowledge/proficiency in Microsoft Office products and Salesforce, highly preferred. A combination of training, education and experience that is equivalent to the qualifications listed above and that provides the required knowledge, skills, and abilities, required.

Experience Level Intermediate Level Job Type & Location This is a Contract to Hire position based out of Dallas, TX.Pay and Benefits The pay range for this position is $24.00 - $27.00/hr individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:

Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
Job Type & Location This is a Contract to Hire position based out of Dallas, TX.Final date to receive applications

This position is anticipated to close on Nov 4, 2026.Workplace Type This is a hybrid position in Dallas,TX.About TEKsystems

We're partners in transformation. We help clients…