Claims Follow Up Specialist

Job Summary

Working remotely in a full-time capacity, the Claims Follow Up Specialist will manage electronic and paper denials, resolve unpaid claims, and collaborate with various departments to ensure proper handling of claims across all insurance carriers.

Key responsibilities:

• Review and correct denied claims for resubmission and direct them to appropriate departments
• Follow up on unpaid claims with insurance carriers and process appeals as necessary
• Utilize online resources to research claims and identify trends to prevent future denials

Required qualifications:

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