Insurance Follow-Up Specialist

Job Summary

To support a growing billing operations team, the full-time Insurance Follow-Up Specialist will investigate and resolve insurance claim denials, partner with payers for timely reimbursement, and manage CPT/HCPCS-related denials while working remotely or in a hybrid capacity.

Key responsibilities

• Investigate and resolve 50 to 100 insurance claim denials daily with accuracy
• Partner with payers to address issues and secure timely reimbursements
• Coordinate with front desk and authorization teams to optimize collections and reduce delays

Required qualifications

• 5+ years of experience in healthcare billing, claims, or insurance follow-up
• Strong knowledge of ICD-10, CPT, HCPCS, and payer policy nuances
• Hands-on experience with Medicare collections for specialty drug coverage
• Proven success in collections with Blue Cross payers preferred
• Familiarity with reimbursement regulations and denial resolution strategies