Follow Up Specialist

Job Summary

Working remotely in a full-time capacity, the Follow Up Specialist will manage electronic denials, paper denials, and unpaid claims reports to resolve issues with claims denied or unpaid by insurance carriers.

Key responsibilities

• Correct and resubmit claims in the clearinghouse portal and billing system while directing rejected claims to appropriate departments
• Review denied claims, utilize online resources to research issues, and report denial trends to assist in preventing future occurrences
• Follow up on unpaid claims with insurance carriers, processing appeals as needed and ensuring timely resolution of outstanding issues

Required qualifications

• 1-2 years of experience in accounts receivable follow-up
• Familiarity with Professional CMS 1500 Billing and multiple billing systems
• Knowledge of various state billing requirements and insurance payer policies
• Basic understanding of medical billing processes and health insurance reimbursement
• Proficiency in Microsoft Office applications, including Teams, Outlook, and Excel