Medical Insurance AR Follow-Up Specialist

This is a fully remote position, open to applicants in Colorado, +13 more states.

📋 Description

• Review and follow up on unpaid, denied, or underpaid medical claims with insurance carriers.

• Utilize payer portals, phone calls, and email communications to address outstanding claims.

• Investigate and resolve claim discrepancies, including issues related to coding and eligibility.

• Identify root causes of claim denials and initiate necessary appeals or corrections.

• Keep accurate records of all follow-up actions in the system.

• Collaborate with billing and coding teams to mitigate future claim issues.

• Communicate with patients regarding claim statuses and outstanding balances as needed.

• Prepare and submit timely appeals for denied claims, ensuring appropriate documentation is included.

• Ensure adherence to healthcare regulations, payer-specific guidelines, and company policies.

⛳️ Requirements

• Strong understanding of claim submission, follow-up processes, denials, and appeals.

• Ability to recognize patterns, resolve claim issues, and enhance processes.

• Excellent verbal and written communication skills.

• Capacity to manage high volumes of claims with precision.

• Experience with insurance payer systems, portals, and medical billing software.

• Minimum of 2 years of experience in medical billing, coding, or accounts receivable follow-up.

• High school diploma or equivalent is required.

• Associate’s degree or certification in medical billing and coding is preferred.

• Proficient in MS Office (Word, Excel).

• Familiarity with the EHR system, NextGen.

• Strong knowledge of Medicare, Medicaid, and commercial insurance policies.

• Candidates must reside in CO, FL, KS, MA, MI, MO, NM, OR, PA, SC, VA, WY, TX, or NC.

🏝️ Benefits

• PTO Accruals Start at 3 Weeks.

• Comprehensive Medical and Dental Insurance.

• Company-Paid Optical Allowance.

• Company-Paid Routine Eye Care.

• Short-Term and Long-Term Disability Insurances.

• Educational Allowance.

• Paid Holiday Program.

• 401K with Company Match.