Insurance Follow Up Specialist

Job Summary

Seeking an experienced Insurance Follow Up Specialist, the full-time remote position will manage complex outstanding insurance balances, denials, and claim-processing issues across various payers, requiring at least two years of relevant experience.

Key responsibilities:

• Independently resolve outstanding insurance A/R, focusing on denied, rejected, and aged claims
• Analyze denial reason codes and payer correspondence to determine appropriate actions for claim resolution
• Submit and track corrected claims, appeals, and other necessary documentation while maintaining thorough records

Required qualifications:

• At least 2 years of direct medical insurance A/R follow-up and claim-resolution experience
• Hands-on experience with commercial insurance, Medicare, Medicaid, and managed Medicaid claims
• Experience working in an EHR or practice-management system and navigating payer portals
• Strong organizational skills with a focus on documentation and follow-through
• Proficiency in Microsoft Excel and Outlook