Payment Variance Follow Up Representative

Med-Metrix

. Follow up with payers via phone, email, fax, or websites to ensure timely resolution of outstanding claims .

Posted 9/17/2026full-timeRemote • New Jersey • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Commercial Insurance Collections and Hospital Billing, with a strong understanding of Healthcare Reimbursement Methodologies and Claims Processing. Proficient in analyzing payment variances and resolving issues related to payer payment delays while maintaining compliance with HIPAA standards.

Highest-signal resume keywords

Commercial Insurance CollectionsHealthcare Reimbursement MethodologiesClaims Processing (ICD-9, CPT, HCPC, UB-04)MS Office Suite ProficiencyStrong Interpersonal Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payment Variance AnalysisClaims Follow-UpAppeals InitiationHealthcare Claims ProcessingManaged Care Reimbursement Knowledge

Soft Skills

Problem-Solving SkillsInterpersonal SkillsWritten Communication SkillsVerbal Communication SkillsCustomer Service Orientation

Tools & Technologies

Electronic Device for Multifactor AuthenticationPhoneEmailFaxWebsites

Industry Keywords

HIPAA ComplianceInformation SecurityPatient ConfidentialityPayer Payment DelaysHealthcare Billing

About the role

Key responsibilities & impact

Follow up with payers via phone, email, fax, or websites to ensure timely resolution of outstanding claims
Perform payment variance analysis to identify trends in underpaid claims
Identify and report underpayments and denial trends
Initiate appeals when necessary
Interact cooperatively and courteously with patients, visitors, coworkers, management, and clients
Maintain confidentiality and a professional attitude
Use, protect, and disclose patients’ PHI in accordance with HIPAA standards
Comply with Information Security and HIPAA policies and procedures
Limit viewing of PHI to the minimum necessary to perform assigned duties
Perform other duties as assigned

Requirements

What you’ll need

High School Diploma or equivalent required
3 years’ experience in Commercial insurance collections, including submitting and following up on claims
Experience in Hospital/Facility billing
Working knowledge of the insurance follow-up process and fundamental concepts in healthcare reimbursement methodologies
Detailed knowledge of Managed Care reimbursement methodologies
Basic knowledge of healthcare claims processing, including ICD-9, CPT, HCPC codes, and UB-04
Ability to analyze, identify, and resolve issues causing payer payment delays
Proficiency with MS Office Suite
Strong interpersonal, written, and verbal communication skills
Strong problem-solving and creative skills; ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability, with a strong sense of urgency and results orientation
Gracious and welcoming personality for customer service interaction
Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
Ability to follow directions, collaborate with others, and handle stress

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Med-Metrix Website LinkedIn All Job Openings 1001 - 5000 employees Founded 2010 🏥 Healthcare ☁️ SaaS 💰 Private equity on 2025-09 Healthcare
SaaS Med-Metrix is a company for which only a minimal web presence was provided (the page only displayed "Loading application... Your web browser must have JavaScript enabled... "). No product, market, or mission details were included in the supplied text. Based on the company name alone, it plausibly focuses on medical or clinical metrics, analytics, or healthcare software, but that is speculative and not confirmed by the provided information. Further public details would be required to be more specific. Payment Variance Follow Up Representative 🔥 8 minutes ago 🏖️ New Jersey – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Representative 👻 Ghost score 10% Apply Now Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Follow up with payers via phone, email, fax, or websites to ensure timely resolution of outstanding claims
Perform payment variance analysis to identify trends in underpaid claims
Identify and report underpayments and denial trends
Initiate appeals when necessary
Interact cooperatively and courteously with patients, visitors, coworkers, management, and clients
Maintain confidentiality and a professional attitude
Use, protect, and disclose patients’ PHI in accordance with HIPAA standards
Comply with Information Security and HIPAA policies and procedures
Limit viewing of PHI to the minimum necessary to perform assigned duties
Perform other duties as assigned 🎯 Requirements
High School Diploma or equivalent required
3 years’ experience in Commercial insurance collections, including submitting and following up on claims
Experience in Hospital/Facility billing
Working knowledge of the insurance follow-up process and fundamental concepts in healthcare reimbursement methodologies
Detailed knowledge of Managed Care reimbursement methodologies
Basic knowledge of healthcare claims processing, including ICD-9, CPT, HCPC codes, and UB-04
Ability to analyze, identify, and resolve issues causing payer payment delays
Proficiency with MS Office Suite
Strong interpersonal, written, and verbal communication skills
Strong problem-solving and creative skills; ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability, with a strong sense of urgency and results orientation
Gracious and welcoming personality for customer service interaction
Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
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