Follow Up Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Assess and correct denied claims for resubmission.

• Redirect denied claims to appropriate departments when necessary.

• Utilize payer websites and online portals for researching denied claims.

• Detect denial patterns and report them to the lead to assist in preventing future denials.

• Follow up on unpaid claims with insurance carriers once they reach a specified age.

• Communicate with insurance companies via phone, portals, and email to address claims denied in error or needing further information.

• Investigate claims using various online resources and portals.

• Recognize denial trends and other issues with insurance carriers, reporting them to the lead.

• Handle appeals for denied claims.

⛳️ Requirements

• 1-2 years of experience in Accounts Receivable Follow-Up.

• Familiarity with Professional CMS 1500 Billing, multiple clearinghouses, billing systems, and EMRs.

• Understanding of billing requirements across multiple states, including commercial and government payers.

• Basic knowledge of medical billing practices.

• Fundamental understanding of health insurance carrier billing and reimbursement policies.

• Strong problem-solving and dispute resolution capabilities.

• Ability to manage multiple tasks and adapt to evolving regulations.

• Excellent verbal and written communication skills.

• Outstanding organizational and time management skills.

• Proficient in Microsoft Office applications such as Teams, Outlook, and Excel.

• Capability to prioritize tasks effectively.

• High attention to detail and strong problem-solving abilities.

• Expected to work from a designated home office or a quiet, secure location free from distractions.

• Must have access to a suitable workspace with reliable internet connectivity.

🏝️ Benefits

• Comprehensive health and wellness benefits, including medical, dental, vision, life insurance, and short and long-term disability coverage.

• Health Savings Account (HSA) with employer contributions.

• Flexible spending accounts for healthcare and dependent care expenses.

• Wellness platform offering premium incentives.

• Employee assistance support services.

• Optional supplemental plans, including accident, critical illness, hospital indemnity, and child disability insurance.

• Generous and flexible paid time off policies.

• Company-paid holidays.

• 401(k) plan with potential discretionary employer matching opportunities.

• Opportunities for professional development.

• Company-issued equipment provided.