Follow Up Specialist

Job Description:

• Review denied claims for correction and resubmission
• Direct denied claims to other departments when warranted
• Use payer websites and online portals to research denied claims
• Identify denial trends and report them to the lead to help prevent future denials
• Follow up on unpaid claims with insurance carriers after the specified claim age
• Contact insurance companies by telephone, portals, and email to resolve claims denied in error or requiring additional information
• Research claims using multiple online websites and portals
• Identify denial trends and insurance-carrier issues and report them to the lead
• Process appeals on denied claims
• Forward denials to other departments so claims can be handled properly

Requirements:

• 1–2 years' experience in an AR Follow-Up role
• Experience in professional CMS 1500 billing
• Experience with multiple clearinghouses, billing systems, and EMRs
• Knowledge of multiple states' billing requirements
• Knowledge of commercial and government payers
• Basic medical billing knowledge
• Basic health insurance carrier billing and reimbursement policies
• Problem solving and dispute resolution skills
• Ability to multitask and adapt to changing regulations
• Strong verbal and written communication skills
• Excellent organizational and time-management abilities
• Proficiency in Microsoft Office applications, including Teams, Outlook, and Excel
• Ability to prioritize multiple tasks effectively
• High attention to detail and problem-solving skills
• Reliable internet access
• Ability to sit for long periods while working at a desk or computer
• Regular use of a keyboard, mouse, and other computer peripherals

Benefits:

• 100% remote work
• Designated home office or other quiet and secure workspace
• Reliable internet access for remote work