Follow Up Specialist

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

📋 Description

• Manage electronic and paper denials, as well as unpaid claims reports, to address denied or unpaid claims from various insurance carriers.

• Amend and resubmit claims through clearinghouse portals and billing systems.

• Redirect rejected and denied claims to relevant departments for resolution when necessary.

• Detect denial trends and communicate them to the lead to assist in preventing future denials.

• Initiate cases and collaborate directly with clearinghouses when erroneous claim rejections occur.

• Assess denied claims for corrections and resubmissions.

• Investigate denied claims utilizing payer websites and online portals.

• Follow up on unpaid claims with insurance carriers after the designated claim aging period.

• Communicate with insurance companies via telephone, portals, and email to resolve payment discrepancies.

• Conduct research on claims using various online resources and portals.

• Handle appeals for denied claims.

⛳️ Requirements

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

• Familiarity with Professional CMS 1500 Billing, various Clearinghouses, Billing Systems, and Electronic Medical Records (EMRs).

• Understanding of billing requirements across multiple states, including both Commercial and Government payers.

• Foundational knowledge of Medical Billing.

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

• Strong problem-solving and dispute resolution skills.

• Capability to multitask and adjust to evolving regulations.

• Excellent verbal and written communication abilities.

• Outstanding organizational and time-management skills.

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

• Ability to manage multiple tasks and prioritize effectively.

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

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

• Reliable internet access and an appropriate workspace are required.

• Ability to remain seated for extended periods while working at a desk or computer.

• Regular use of a keyboard, mouse, and other computer peripherals is necessary.

🏝️ Benefits

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

• Health Savings Account (HSA) with employer contributions.

• Flexible spending accounts for healthcare and dependent care.

• 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 featuring discretionary employer matching opportunities.

• Opportunities for professional development.

• Equipment provided by the company.