Medical Insurance Follow-Up Specialist

Job Summary

To maximize revenue and ensure timely reimbursement, the full-time Medical Insurance AR Follow-Up Specialist will manage and resolve unpaid, denied, or underpaid insurance claims in a fully remote environment.

Key responsibilities

• Review and follow up on unpaid, denied, or underpaid medical claims with insurance carriers
• Research and resolve claim discrepancies, including coding errors and eligibility issues
• Prepare and submit timely appeals for denied claims with appropriate documentation

Required qualifications

• Minimum of 2 years of experience in medical billing, coding, or accounts receivable follow-up
• High school diploma or equivalent; Associate's degree or certification in medical billing and coding preferred
• Strong knowledge of Medicare, Medicaid, and commercial insurance policies
• Proficiency in MS Office (Word, Excel) and experience with the EHR system, NextGen
• Expertise in claim submission, follow-up, denials, and appeals