Insurance Follow-Up Specialist

Job Summary

A company is looking for an Insurance Follow-Up Specialist.

Key Responsibilities

• Analyze denied claims to determine reasons for denial and execute follow-up actions
• Communicate with payors to resolve unpaid or underpaid claims and ensure timely recovery
• Maintain accurate records of claim activities and ensure compliance with regulations

Required Qualifications

• Minimum of 6 months experience in a hospital, payer, or relevant revenue cycle area
• Preferred experience in healthcare insurance billing, medical coding, or claim adjudication
• Expertise in medical terminology and coding (ICD, CPT, HCPCS, etc.)
• Advanced critical thinking skills for problem definition and data analysis
• Experience with healthcare billing systems (EPIC or similar)