Follow-Up Specialist, Clinical Denials

Job Summary

Managing clinical appeals, the full-time Follow-Up Specialist, Clinical Denials will engage with insurance companies, submit disputes, and ensure timely resolution while working remotely.

Key responsibilities

• Review denial letters and initiate follow-up actions to confirm and dispute appeal denials
• Contact insurance companies to clarify denial reasons and request reconsideration
• Submit disputes for denials related to timely filing, missing documentation, or administrative errors

Required qualifications

• High School Diploma or GED required; Associates or Bachelor's Degree preferred
• 2-3 years' experience in healthcare billing or collections
• 1+ years' customer service experience
• Knowledge of insurance payer/provider claims processing
• Strong computer proficiency, including MS Office applications