Follow Up Specialist

Job Summary

To support timely reimbursement processes, the full-time Follow Up Specialist will analyze account activity, investigate denied or unpaid insurance claims, and collaborate with insurance payers and internal departments to expedite payment.

Key responsibilities

• Follow up on assigned insurance claims to ensure timely and accurate payment
• Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim status
• Contact insurance companies to resolve claim issues and identify appeals for denied or underpaid claims

Required qualifications

• High school diploma or equivalent; Associate's degree in healthcare or business preferred
• Minimum of 2 years of experience in medical billing, insurance follow-up, or revenue cycle operations
• Knowledge of insurance payer requirements, CPT/ICD coding, and medical terminology
• Experience working with electronic health records (EHRs) and billing systems
• Minimum of 1 year of CPSI EMR experience required; EPIC EMR experience preferred