Insurance Follow Up Specialist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Insurance claims specialist resolving denied and aged medical A/R for Mindful Therapy Group, which supports independent mental health providers. Managing payer follow-up, appeals, corrected claims, and payment posting.
Responsibilities:
- Independently work outstanding insurance A/R, focusing on denied, rejected, and aged claims, including balances aged 120+ days.
- Analyze denial reason codes, payer correspondence, eligibility and benefits information, authorization requirements, coding or claim-edit issues, and filing-limit concerns to determine the appropriate next action.
- Submit and track corrected claims, reprocessed claims, reconsiderations, appeals, medical-record submissions, and other payer-required documentation.
- Navigate commercial payer portals and communicate directly with payer representatives to obtain claim status, denial details, payment information, and resolution commitments.
- Communicate claim status, documentation needs, and action items to providers and internal partners.
- Post insurance payments and adjustments accurately when assigned, ensuring payment activity aligns with remittance advice and claim-resolution outcomes.
- Maintain thorough, actionable documentation in the EHR (AdvancedMD) and related tracking tools so team members can understand claim history and next steps.
Requirements:
- At least 2 years of direct medical insurance A/R follow-up and claim-resolution experience in a healthcare billing environment.
- Hands-on experience working commercial insurance, Medicare, Medicaid, and managed Medicaid claims.
- Strong written and verbal communication skills, with the ability to communicate professionally and effectively with payer representatives, providers, managers, and internal teams.
- Experience working in an EHR or practice-management system, payer portals, clearinghouse tools, Microsoft Excel, and Outlook.
- Strong attention to detail, organization, follow-through, and documentation habits.
- Background check required.
- Behavioral health billing and insurance A/R experience preferred.
- Experience with AdvancedMD or a similar behavioral health EHR/practice-management platform preferred.
- Experience with payer portals for regional and national commercial payers, including Blue Cross Blue Shield plans, Aetna, Cigna, Optum/UnitedHealthcare, Medicare contractors, and Medicaid managed-care organizations preferred.
- Experience working with Apple computers and macOS preferred.
Benefits:
- 75% coverage of health, dental, and vision insurance
- 15 PTO days accrued annually in first year
- 6 paid holidays per year
- 401k matching
- Life Insurance
- Professional development training and opportunities for advancement
Similar Jobs
Commercial Insurance Quality Control Advisor
Quality Control Advisor auditing commercial insurance files for Zensurance, a Canadian digital insurance platform. Analyzing root causes, improving broker workflows, and supporting compliance.
Insurance Technology Sales Executive
Insurance technology sales executive growing Acturis Canada’s SaaS platform among brokers, insurers and MGAs. Managing consultative sales, demonstrations and customer relationships across Canada.
Director, Consult Partner – Insurance
Kyndryl Consult Partner driving insurance account growth and AI-led transformation. Advising carriers, brokers, and MGAs on modernization and strategic technology change.
AR Medical Insurance Specialist
Medical insurance specialist managing payer and patient balances for US Oncology Network, a community oncology care network. Resolving billing issues, collections, refunds, and insurance inquiries remotely.
Bilingual Insurance CSR, Mandarin/Cantonese
Bilingual Insurance CSR supporting Cantonese- or Mandarin-speaking insurance customers. Handling policy servicing, quotes, carrier coordination, and customer records remotely.
VP – Insurance F&A Solutioning, Client Enablement
VP leading EXL's insurance finance and accounting solutioning strategy, major pursuits, and client enablement. Building propositions, winning complex deals, and scaling solutioning teams.
Insurance Enrollment Specialist
Insurance Enrollment Specialist managing dental insurance portals, EFT, and ERA enrollments for Smile Partners USA’s dental practice network. Supporting payer access, credentialing accuracy, and revenue cycle process improvement.
Commercial Insurance Sales Producer
Commercial insurance producer growing an existing book of business for NavSav. Building client relationships, selling policies, and meeting monthly sales quotas.
Bilingual Insurance CSR, Mandarin/Cantonese
Bilingual Insurance CSR supporting Cantonese- and Mandarin-speaking customers for Savvital’s insurance client. Handling calls, policy changes, quotes, carrier coordination, and customer records remotely.
Insurance A/R Follow-Up Specialist, Plastic Surgery
Insurance A/R specialist resolving unpaid claims, prior authorizations, and eligibility issues for a California plastic surgery practice. Remote full-time role supporting U.S. healthcare revenue cycle operations.
Licensed Health Insurance Agent
Commission-based health insurance agent acquiring clients and selling policies remotely for American Income Life. Building customer relationships through video-call presentations and company-provided leads.
Senior Insurance Fraud & Claims Investigation Specialist
Insurance fraud specialist analyzing claims evidence and reconstructing loss events for Gramian Consultancy’s AI training and evaluation projects. Producing evidence-based assessments of staged and fraudulent claims.
Risk Management Consultant
Risk Management Consultant developing risk and safety programs for AvonRisk’s Wisconsin self-insured organizations. Advising Members, conducting training and inspections, and mitigating workplace losses across the state.
Specialist, Insurance – P&C Claims
P&C claims specialist managing active claims, contractors, and estimate reviews. Supporting insurers and adjusters for Genpact’s AI and business transformation services.
Domain Expert – Insurance, Claims Processing, Coverage
US insurance domain expert mapping claims and coverage processes for Factify’s auditable AI rulebooks. Translating carrier judgment into testable rules, datasets, and validated agent decisions.
Property & Casualty Licensed Insurance Representative – Non-Sales
Remote licensed insurance representative handling inbound and outbound customer inquiries for TP, a global digital business services provider. Resolving policy and healthcare-related issues through web-based tools.
Field Representative – Insurance Inspections
Verisk field representative inspecting commercial properties for insurance underwriting and loss control. Conducting site visits and producing accurate risk reports for insurers.
Reinsurance/Stoploss Medical Claims Adjustor
Medical claims adjustor reviewing and adjudicating complex Reinsurance/Stoploss claims for CVS Health. Researching coverage, recalculating payments, resolving discrepancies, and handling appeals.
Independent Life Insurance Agent – 1099
Independent remote life insurance agent developing prospects and helping families choose life insurance. Building a self-directed business through referrals, outreach, and inbound sales calls.
Insurance Reviewer II
Insurance Reviewer II processing medical claims, billing adjustments, and denials for Springfield Clinic. Securing third-party payments while supporting patients, audits, and insurance reviews.