Medical Claims Follow up Specialist

Established physician office seeking an experienced Medical Claims Follow-Up Specialist to manage insurance accounts receivable, denials, and appeals. This role is ideal for someone who enjoys problem-solving, working accounts, and ensuring accurate reimbursement from commercial and government payers.

Small, team-oriented office with a supportive work environment and long-term stability.

Key Responsibilities

• Review and follow up on insurance denials and unpaid claims
• Submit corrected claims and appeals as needed
• Work with payers including UnitedHealthcare, Aetna, Cigna, and Blue Cross Blue Shield
• Analyze EOBs and ensure accurate payment posting and adjustments
• Identify trends in denials and recommend solutions
• Correct errors related to demographics, coding, and charge entry
• Communicate with insurance companies regarding claim status
• Assist front office with patient account questions as needed

Qualifications

• Minimum 1–2 years experience in medical claims follow-up / AR
• Strong understanding of insurance guidelines and billing processes
• Experience with denials, appeals, and payment posting
• Familiarity with CMS and commercial payer rules
• Strong analytical and organizational skills
• Ability to manage multiple accounts in a fast-paced environment

Additional Requirements

• Proficient in Microsoft Word, Excel, and practice management systems
• High school diploma or equivalent required
• Ability to sit/stand and work at a computer for extended periods

Compensation & Schedule

• Full-time, Monday–Friday (9 AM – 5 PM)
• Compensation: Based on experience

Additional Information

• This is an in-office position
• Benefits: Not offered at this time

Job Type: Full-time

Experience:

• Insurance specialist: 1 year (Required)
• Claim Follow Up: 1 year (Required)

Work Location: In person

Pay: $18.00 - $23.00 per hour

Benefits:

• Paid time off

Work Location: In person