Insurance Follow-Up Representative – Physician

Because every resolved claim keeps healthcare moving forward

What if your workday ended with time still left for you? This role puts you at the center of healthcare operations—supporting physicians by keeping critical insurance workflows moving smoothly and on time. You’ll work with structure, clarity, and purpose, in an environment that values accuracy, steady progress, and personal time just as much as performance and growth.

Job Description

As an Insurance Follow-Up Representative – Physician, you’ll manage claim follow-ups, resolve denials, and secure timely reimbursements. Your work ensures physicians are paid accurately while helping improve processes, reduce delays, and support sustainable healthcare operations.

Job Overview

Employment type: Indefinite term type contract
Shift: Day Shift, Monday–Friday (8:00 AM–5:00 PM EST)
Work setup: Onsite – Calle 97A, Bogotá, Colombia

Exciting Perks Await!

• 5-day work week
• Weekends off
• 20 vacation days in total
• Prepaid medicine
• Fully customized Emapta laptop and peripherals
• Indefinite term type contract
• Direct exposure to clients
• Career growth opportunities
• Diverse and supportive work environment
• Prime office locations – Bogotá and Medellín
• Unlimited upskilling through Emapta Academy courses

The Qualifications We Seek

• 1 to 3 years of relevant experience
• Proficiency in Microsoft Office 365
• Strong attention to accuracy and detail

Your Daily Tasks
Denial Resolution and Appeals

• Perform follow-ups on outstanding insurance and patient balances via payer portals, calls, and correspondence
• Analyze denials to identify trends and root causes and recommend process improvements
• Monitor worklists or aging reports to ensure timely follow-ups
• Investigate unpaid or denied claims to secure reimbursement
• Review EOBs/ERAs to determine next steps
• Initiate reconsiderations and resubmissions as needed
• Submit appeals and corrected claims with complete documentation

Follow-Up and Review

• Communicate with payers to resolve issues related to medical necessity, authorization, bundling, and eligibility
• Contact patients to verify or obtain insurance information

Underpayment Review

• Identify underpaid claims based on contract expectations
• Research and dispute underpayments, coordinating with contract management when needed

Process and Workflow

• Document all actions accurately in workflow systems
• Use internal tools such as crosswalks, tip sheets, and team chats
• Escalate unresolved issues appropriately
• Meet productivity and quality standards
• Support onboarding of new team members
• Work independently and collaboratively in a fast-paced environment

Collaboration and Strategy

• Work with coding, patient access, billing, and compliance teams to resolve denial root causes
• Ensure adherence to CMS, Medicaid, and commercial payer guidelines
• Support team goals and client success
• Recommend process improvements based on payer behavior and denial trends

About the Client

Powering physician success through smarter revenue recovery

Our client is a specialized healthcare revenue cycle organization trusted by physician groups to navigate complex insurance landscapes. Known for expertise in denial management, appeals, and reimbursement optimization, they help providers recover revenue accurately and efficiently. With a strong focus on compliance, analytics, and continuous improvement, they create an environment where professionals contribute to meaningful financial outcomes that directly support patient care and clinical sustainability.

Welcome to Emapta Colombia!

At Emapta, you're not just joining an industry-leading outsourcing provider; you're becoming part of a community that celebrates the rich cultural tapestry of Colombia. Our track record of success and diverse international clientele across various industries provide a solid foundation for your career. With over 1,000 global partners preferring to open remote jobs in the country, our vision is to help you and thousands more Colombians reach your full potential and dreams without the need to leave the country and work abroad.

Join forces with passionate professionals who share the desire to make a meaningful impact through premium global opportunities, all at your fingertips. Emapta isn't just a company; it's a community that values the balance between work and life. Start a truly exciting journey with us and discover how your talent can flourish in a setting that celebrates the spirit of Latin America.

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