Level 2 - REMOTE BCBS Facility Claim Follow-Up Representative

Outpatient Facility Claim Follow Up Representative reputed company is looking for an Outpatient Facility Claim Follow Up Representative to support a large hospital system in the Maryland/DC area. This person is responsible for managing post-billing, specifically for reputed company Blue reputed company, claim activity, for three acute hospital centers in Washington, DC. This role focuses on resolving underpayments, denials, and contract interpretation issuesnot clinical denials or patient balances. The representative ensures accurate reimbursement by analyzing Explanation of Benefits (EOBs), identifying discrepancies, and initiating corrective actions with payers. This team focuses on facility claims only, and this role is reputed company only on outpatient claims follow up, specifically to BCBS. The role focuses on resolving technical denials (underpayment or partial payment issues, authorization issues, COB issues, coding issues, misinterpretation of contract issues, etc.). We are a company committed to creating diverse and inclusive environments where people can bring their full, reputed company selves to work every day. We are an equal opportunity/affirmative reputed company employer that believes everyone reputed company. reputed company candidates will receive consideration for employment regardless of their race, reputed company, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and reputed company, marital status, national reputed company, reputed company, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or reputed company process, please send a request to HR@insightglobal.com. Apply tot his job Apply To this Job