Medical Insurance Follow-Up Specialist

Job Summary

To ensure accurate and prompt reimbursement, the full-time Medical Insurance Follow-Up Specialist will manage outstanding insurance claims, analyze account activity, and collaborate with insurance payers and internal departments, all while working remotely.

Key responsibilities

• Follow up on assigned insurance claims to ensure timely and accurate payment
• Review Explanation of Benefits (EOBs) and remittance advice for payment accuracy and claim status
• Contact insurance companies to resolve claim issues, including identifying and appealing denied or underpaid claims

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