Claims Follow Up Specialist

Job Summary

To resolve electronic denials and unpaid claims, the full-time remote Claims Follow Up Specialist will manage claims through various online portals, telephone communications, and email correspondence while collaborating with other departments as necessary.

Key responsibilities

• Correct and resubmit claims in the clearinghouse portal and billing system, directing rejected claims to appropriate departments for resolution
• Follow up on unpaid claims with insurance carriers, utilizing multiple resources to research and resolve issues
• Identify denial trends and report findings to leadership to assist in preventing future denials

Required qualifications

• 1-2 years of experience in Accounts Receivable Follow-Up
• Experience with Professional CMS 1500 Billing and multiple clearinghouses
• Knowledge of billing requirements for multiple states and familiarity with commercial and government payers
• Basic understanding of medical billing and health insurance carrier policies
• Proficiency in Microsoft Office applications, including Teams, Outlook, and Excel