Insurance Follow-Up Specialist

Job Summary

Working remotely on a full-time basis, the Insurance Follow-Up Specialist will manage hospital and physician billing follow-up activities to resolve unpaid, underpaid, denied, or rejected insurance claims while collaborating with various insurance carriers and internal teams.

Key Responsibilities

• Research and resolve denied, unpaid, underpaid, or incorrectly processed insurance claims
• Investigate claim rejections and denials by contacting insurance carriers and reviewing payer requirements
• Prepare and submit appeals, reconsiderations, and corrected claims to support timely reimbursement

Required Qualifications

• High School Diploma or GED
• 2+ years of experience in insurance follow-up, denials management, or medical billing
• Experience working with Medicare, Medicaid, and commercial payers
• Knowledge of patient billing, claims submission, and denial resolution processes
• Proficiency with Microsoft Office (Outlook, Word, and Excel)