Medical Claims Follow-Up Specialist

Job Summary

A company is looking for a Medical Claim Follow Up Specialist, Remote.

Key Responsibilities

• Resolve billed claims and referred denials
• Manage assigned work queues and document claim status activity
• Communicate payer trends and follow up on accounts in a timely manner

Required Qualifications

• High School Diploma or GED equivalent
• 1-2 years of collection or follow-up experience is strongly recommended
• Knowledge of insurance types and payer portal navigation
• Basic understanding of appeals and denial resolution processing needs
• Familiarity with UB04 and/or 1500 claims