Insurance Follow Up Specialist

Job Summary

To ensure timely and accurate reimbursement, the full-time Insurance Follow Up Specialist will analyze account activity, investigate denied or unpaid claims, and collaborate with insurance payers and internal departments to resolve issues.

Key responsibilities

• Follow up on assigned insurance claims to secure timely payments and resolve issues
• Review Explanation of Benefits (EOBs) for payment accuracy and claim status
• Collaborate with billing, coding, and clinical staff to obtain necessary documentation for claims resolution

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
• Experience working with electronic health records (EHRs) and billing systems
• Strong understanding of healthcare claim submission and adjudication processes