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Insurance Follow Up Rep

CHI Health Clinic Omaha, Nebraska
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The posted compensation range of $17.24 - $24.35 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2026-483252 Employment Type Full Time Department Finance Hours/Pay Period 80 Shift Day Weekly Schedule Monday-Friday 8am to 5pm Remote No Category Accounting and Finance

Job Summary and Responsibilities

As our Insurance Follow Up Rep, you will be a crucial asset in our revenue cycle management team, responsible for corresponding with commercial and government health insurance payers. Your primary function will be to research and resolve outstanding insurance balances and non-coding denials, ensuring correct reimbursement for services rendered. This role directly contributes to the financial health of our ministry by safeguarding revenue integrity and maintaining compliance with established guidelines.

Every day you will engage in comprehensive follow-up activities, including phone calls, online processing, fax, and written correspondence to address unpaid or underpaid claims. You'll expertly analyze Explanation of Benefits (EOBs) and remittance advices, effectively communicating with payers to explain balances and resubmit claims with necessary information. This role also involves identifying potential areas of concern or trends, proactively rectifying issues, and escalating complex cases to management, ensuring meticulous documentation of all actions in the billing system.

To be successful in this insurance claims specialist role, you will need a minimum of two years of revenue cycle or related work experience, demonstrating a strong understanding of medical insurance, payer contracts, CPT, and ICD codes. Your ability to troubleshoot and adapt to diverse situations, maintain confidentiality, and exhibit excellent customer service skills, including professional telephone interactions, is paramount. We're seeking a detail-oriented, analytical thinker who can effectively prioritize tasks and thrive in a fast-paced environment, contributing to our mission of providing compassionate and efficient healthcare by ensuring proper financial follow-up.

Job Requirements

Preferred

  • High School GED General Studies and Two years of revenue cycle or related work experience , upon hire or
  • High School Graduate General Studies and Two years of revenue cycle or related work experience , upon hire and
  • Graduation from a post-high school program in medical billing or other business related field is , upon hire
Where You'll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.