Insurance Follow Up Specialist

Key Responsibilities

• Review aging reports and follow up on unpaid or denied insurance claims in accordance with company standards and payer timelines.
• Research and resolve claim denials, underpayments, and rejections through direct communication with insurance companies.
• Prepare and submit corrected claims, appeals, and supporting documentation as necessary.
• Maintain detailed and accurate records of all claim follow-up activities in the billing system.
• Collaborate with billing, coding, and front-office teams to address claim issues and prevent future denials.
• Verify insurance eligibility and benefits when necessary to ensure correct claim submission.
• Stay updated on insurance payer policies, coding changes, and reimbursement guidelines.
• Meet or exceed department productivity and quality performance standards.
• Provide excellent customer service when interacting with payers, patients, and internal staff.

Position Type: Onsite

Employment Benefits:

• Paid Weekly
• 401(k) Plan with Employer Match
• Paid Time Off and Sick Pay
• Medical, Dental and Vision
Advancement Opportunities

Experience:

• Minimum 1–2 years of experience in medical billing, insurance follow-up, or revenue cycle operations.
• Experience with electronic health record (EHR) and billing systems (e.g., Epic, Athena, NextGen, or similar) preferred.
• Knowledge of CPT, ICD-10, and HCPCS coding helpful.

Skills & Abilities:

• Strong understanding of insurance claims, EOBs, and payer reimbursement processes.
• Excellent analytical, problem-solving, and organizational skills.
• Ability to work independently and manage multiple tasks in a deadline-driven environment.
• Strong communication skills (both verbal and written).
• Proficiency in Microsoft Office (Excel, Word, Outlook).