Claims Follow-Up Representative
Overview
Position Summary
An entry-level role supporting U.S. healthcare clients by tracking unpaid insurance claims, communicating with insurance companies, documenting findings, and helping ensure timely payment. This is an opportunity for university graduates to build a career in healthcare revenue cycle management.
Training & Performance Expectations
Reveloop will provide structured onboarding on U.S. healthcare revenue cycle processes, payer portals, claims and denial terminology, documentation standards, data privacy, and internal systems. Productivity targets apply after training and an appropriate ramp-up period.
Specific Skills
Minimum Requirements & Skills
- Completed university degree in any discipline; recent graduates are encouraged to apply.
- No prior work experience, healthcare billing experience, or insurance knowledge required; comprehensive job training will be provided.
- Excellent spoken and written English, with clear pronunciation, professional email writing, and strong listening skills.
- Strong computer skills: confident use of Microsoft Excel, Word, Outlook/email, web browsers, online systems, and accurate data entry.
- Ability to multitask across several systems, prioritize tasks, and meet daily deadlines.
- Strong attention to detail, numerical accuracy, analytical thinking, and problem-solving abilities.
- Professional communication skills, teamwork, reliability, coachability, and a willingness to learn.
- Ability and willingness to work on-site in Kampala during shifts aligned with U.S. Mountain Time.
Responsible For
Key Responsibilities
Claims Tracking & Follow-Up
- Review assigned insurance claims and check claim status using approved billing systems and payer websites.
- Contact U.S. insurance companies by phone or online channels to request claim updates and identify missing information.
- Record payer responses, reference numbers, next steps, and follow-up dates accurately.
- Investigate outstanding, unpaid, delayed, or unacknowledged claims to determine the reason for their status.
- Verify claim submission details, including submission dates, payer receipt status, and relevant billing information.
- Monitor claims against payer-specific turnaround times and established follow-up schedules.
- Identify claims approaching timely filing deadlines and prioritize them for appropriate action.
- Maintain consistent follow-up on assigned claims until they are resolved, paid, or appropriately escalated.
- Identify unpaid, delayed, or incorrectly processed claims and escalate issues to experienced team members.
- Coordinate with billing, coding, and denial colleagues to resolve routine claim issues.
- Prioritize assigned tasks and maintain organized work queues.
- Determine appropriate next steps based on payer feedback, established procedures, and client-specific guidelines.
- Recognize issues involving eligibility, benefits, authorization, credentialing, coding, and missing documentation, and route them to the appropriate team.
- Identify claims requiring appeals, corrected claims, resubmissions, or further investigation and escalate them accordingly.
- Follow up on previously escalated claims to ensure outstanding issues are addressed.
- Use multiple browser tabs, spreadsheets, and internal tools accurately and efficiently.
- Follow standardized procedures, protect patient information, and maintain professional communication.
- Learn and use Reveloop automation tools while reporting workflow exceptions
- Maintain accurate and complete claim documentation in designated billing systems.
- Meet established productivity, quality, and turnaround-time expectations.
- Identify discrepancies between payer information and internal billing records and report them appropriately.
- Participate in quality audits, coaching sessions, and continuous improvement initiatives.
Job Nature
Full Time
Job Location
Kampala Uganda
Job Level
Entry Level
How to Apply
Interested candidates can send their resumes to info@reveloop.com mentioning "Job Title" in the subject line.
Apply Online