AR Follow Up Rep

AR Follow‑Up Representative (Hospital Billing & Denials)

📍 Location: Onsite – Chesapeake, VA

🕘 Schedule: Monday–Friday, 8:00 AM – 4:30 PM

👔 Dress Code: Business Casual

Position Overview

We are seeking an experienced AR Follow‑Up Representative to support hospital billing and revenue cycle operations. This role is responsible for aggressively following up on unpaid and denied inpatient and outpatient claims to ensure timely reimbursement and maximize cash collections.

The ideal candidate has strong hospital denial management experience , is comfortable working high‑dollar and aged accounts, and can independently analyze claim issues and trends.

Day‑to‑Day Responsibilities

• Work claims from EPIC work queues and Aged Trial Balance (ATB) reports to prioritize aged and high‑dollar accounts
• Organize and sort claims by age and dollar amount, working accounts from oldest to newest
• Review claim status to determine what has been paid, denied, or requires further action
• Actively work denials, including registration, authorization, and other denial types
• Request medical records when needed, upload documentation to payer portals, and track responses
• Contact insurance companies to identify reasons for denials or delayed payments
• Communicate with patients to update coordination of benefits (COB) and resolve coverage issues
• Take all necessary actions to move claims toward payment
• Analyze denial and follow‑up trends and collaborate with leadership to reduce repeat denials
• Meet productivity metrics of 50 accounts per day, adjusted based on complexity and dollar value
  
  
  

Core Billing & Follow‑Up Duties

• Submit and follow up on inpatient and outpatient claims (UB‑04 and CMS‑1500)
• Correct claim errors, handle rejections, and resubmit claims as needed
• Place unbillable claims on hold and communicate required corrections to internal departments
• Submit corrected and late charge claims when applicable
• Follow up on unpaid or underpaid claims until resolution is achieved
• Post accurate adjustments based on EOBs, payer policies, and management direction
• Generate letters and correspondence to payers or patients to resolve claim issues
• Maintain clear, concise documentation within billing systems using approved abbreviations
• Ensure compliance with HIPAA and payer regulations at all times
  
  
  

Systems & Tools Used

• EPIC
• Payer portals
• OnBase (document imaging/scanning system)
• Excel (ATB tracking, sorting, reporting)
  
  
  

Required Skills & Qualifications

• Minimum 2 years of hospital AR follow‑up experience
• Hospital denial management experience required
• Experience working appeals and denied claims
• Strong knowledge of insurance payers and reimbursement processes
• Ability to analyze data, identify trends, and resolve complex claim issues
• Experience working independently in a high‑volume environment
• Strong communication and documentation skills
  
  
  

What Success Looks Like

• Consistently meeting productivity and quality metrics
• Driving timely claim resolution and cash collections
• Reducing repeat denials through trend analysis
• Maintaining accurate, compliant documentation
• Effectively collaborating with internal teams, payers, and patients
  
  
  

Job Type & Location

This is a Contract to Hire position based out of Chesapeake, VA.

Pay And Benefits

The pay range for this position is $20.00 - $22.00/hr.

Requirements

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
  
  
  

Workplace Type

This is a fully onsite position in Chesapeake,VA.

Application Deadline

This position is anticipated to close on May 8, 2026.

h4>About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems And TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.