Commercial Follow Up Specialist

Job Summary

A company is looking for a Commercial Follow Up Specialist (UB-04).

Key Responsibilities

• Perform follow-up on outstanding UB-04 claims with commercial and government payers
• Research and resolve denied, rejected, zero-paid, or underpaid claims
• Document all follow-up actions, payer communications, and account activity thoroughly in the system

Required Qualifications

• 1-3 years of hospital claims processing or insurance follow-up experience
• Hands-on experience working with UB-04 claims
• Strong understanding of denial management and appeals processes
• Working knowledge of CPT, ICD-10 coding, and medical terminology
• Experience communicating with commercial and government payers