Insurance Follow-Up Specialist

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

📋 Description

• Oversee the complete insurance claim process, which encompasses eligibility verification, authorizations, claims submission, accounts receivable follow-up, denial resolution, and payment reconciliation.

• Confirm insurance eligibility, benefits, and authorization prerequisites.

• Submit, review, and monitor insurance claims to ensure prompt payment.

• Investigate and address denied, rejected, unpaid, or underpaid claims.

• Interact with insurance carriers via phone calls, payer portals, and written communication.

• Analyze payment activity and reconcile account balances.

• Keep precise account documentation and claim activity records.

• Decrease outstanding accounts receivable through proficient claim management and follow-up.

• Identify and rectify billing, coding, or payer processing issues that affect reimbursement.

• Adhere to established productivity, quality, and accuracy benchmarks.

• Work collaboratively with internal teams to resolve intricate account issues and support client objectives.

• Assist in reimbursement initiatives across hospital and physician clients.

⛳️ Requirements

• High School Diploma or GED.

• A minimum of 3 years of experience in the healthcare revenue cycle, including insurance follow-up, accounts receivable follow-up, denial management, or medical billing.

• Experience interacting with Medicare, Medicaid, and commercial payers.

• Understanding of patient billing, claims submission, reimbursement, and payer follow-up processes.

• Proficiency in using Epic, Cerner, or similar healthcare revenue cycle systems.

• Competence in Microsoft Office applications, including Outlook, Word, and Excel.

• Familiarity with prior authorization, eligibility verification, and benefits verification processes.

• Experience in hospital revenue cycle management or hospital billing operations.

• Knowledge of medical terminology and coding principles.

• Experience using Meditech.

• Familiarity with payer portals such as Availity, Experian, NaviNet, or other similar platforms.

• Prior remote healthcare revenue cycle experience.

• A secure and private workspace with reliable internet connectivity that meets company standards.

• Verification of internet connectivity may be required during the hiring process.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with employer matching.

• Opportunities for professional development and career advancement.

• Flexible work schedule and remote work options.