Follow Up Specialist

Job Summary

To ensure timely and accurate reimbursement, the full-time Follow Up Specialist will manage outstanding insurance claims by analyzing account activity, investigating denied or unpaid claims, and collaborating with insurance payers and internal departments to expedite payment.

Key responsibilities

• Follow up on assigned insurance claims to ensure prompt payment and accuracy
• Review Explanation of Benefits (EOBs) and remittance advice to assess claim status
• Contact insurance companies to resolve claim issues and appeal denied or underpaid claims

Required qualifications

• High school diploma or equivalent required; 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
• Strong understanding of healthcare claim submission and adjudication processes
• Experience working with electronic health records (EHRs) and billing systems