Insurance Follow-Up Specialist
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Job Description
Insurance Follow-Up Specialist resolving unpaid and denied healthcare claims for Meduit, a national revenue cycle management provider. Investigating payer issues, submitting appeals, and maximizing reimbursement for hospitals and physician practices.
Responsibilities:
- Research and resolve denied, unpaid, underpaid, or incorrectly processed insurance claims
- Investigate claim rejections and denials by contacting insurance carriers and reviewing payer requirements
- Follow up with Medicare, Medicaid, Blue Cross, and commercial insurance carriers to obtain claim status updates and payment resolution
- Analyze denial codes, remittance advice, payer correspondence, and claim documentation to identify root causes and determine next steps
- Correct claim errors and facilitate claim resubmission
- Prepare and submit appeals, reconsiderations, corrected claims, and supporting documentation
- Manage assigned claim inventory and prioritize accounts to reduce aging accounts receivable
- Contact patients to obtain or verify information needed to resolve billing or insurance issues
- Review and update patient demographics, insurance information, and account details
- Document account activity, payer communications, and claim resolutions accurately and timely
- Communicate with insurance companies, patients, and client representatives regarding outstanding claims and balances
- Identify denial trends and recurring issues and communicate findings to leadership and operational teams
- Meet productivity, quality, and cash collection performance standards
- Maintain compliance with HIPAA regulations, client requirements, and company policies
- Collaborate with Billing, Claims, Collections, and Client Services teams to resolve complex reimbursement issues
Requirements:
- High School Diploma or GED
- 2+ years of insurance follow-up, denials management, medical billing, or healthcare collections experience
- Experience working with Medicare, Medicaid, and commercial payers
- Knowledge of patient billing, claims submission, and denial resolution processes
- Proficiency with Microsoft Office, including Outlook, Word, and Excel
- Secure and private workspace within the home
- Reliable wired (preferred) high-speed internet connection
- Minimum internet speeds of 30 Mbps download and 10 Mbps upload
- Professional and distraction-free work environment during scheduled working hours
- Legally authorized to work in the United States at the time of hire
- Ability to complete video interviews, which may be recorded and transcribed
- Ability to provide an internet speed test during the interview process if requested
- Successful pre-employment background check
- Candidates residing in New York are not eligible for this position
Benefits:
- Medical, Dental & Vision
- 401(k) with Company Match
- Paid Wellness Time & Holidays
- Employer-Paid Life Insurance & LTD
- Paid Training
- Internal Growth Opportunities
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