Follow Up Specialist

Job Summary

Working remotely on a full-time basis, the Follow Up Specialist will manage electronic and paper denials as well as unpaid claims reports, ensuring timely resolution of claims denied by insurance carriers.

Key responsibilities

• Resolve electronic and paper denials by correcting and resubmitting claims in the appropriate systems
• Follow up on unpaid claims with insurance carriers, utilizing various communication methods to gather necessary information for resolution
• Identify denial trends and collaborate with other departments 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 various states and payers, including commercial and government
• Basic understanding of medical billing and health insurance carrier policies
• Proficiency in Microsoft Office applications, particularly Teams, Outlook, and Excel